Wallace, Lewis Alfred

Wallace, Lewis Alfred is an individual health care provider with primary practice located at 1921 Stonecipher Blvd , Ada OK 74820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wallace, Lewis Alfred can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1921 Stonecipher Blvd Ada OK 74820
Phone: (580) 421-4570
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3060 Oklahoma

Profile Details

NPI number 1942292271
LBN Legal business name Wallace, Lewis Alfred
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Sep 14th, 2016 - about 10 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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