Wallace, Laury M

Wallace, Laury M is an sole proprietor health care provider with primary practice located at 16731 Gaither Blvd , Westfield IN 46074-4607. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Wallace, Laury M can be contacted via phone (317) 561-6840.

Contact Information

Primary practice address
16731 Gaither Blvd Westfield IN 46074-4607
Phone: (317) 561-6840
Fax: (812) 239-3771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 71007724A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 71007724A Indiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 71007724A Indiana
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 71007724A Indiana

Profile Details

NPI number 1205343845
LBN Legal business name Wallace, Laury M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2018
Last updated Jan 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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