Wallace, Lula

Wallace, Lula is an individual health care provider with primary practice located at 821 N Eutaw St , Baltimore MD 21201-4648. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wallace, Lula can be contacted via phone (410) 225-9185.

Contact Information

Primary practice address
821 N Eutaw St Baltimore MD 21201-4648
Phone: (410) 225-9185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACO333 Maryland

Profile Details

NPI number 1821874389
LBN Legal business name Wallace, Lula
Credentials CAC-AD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2023
Last updated Aug 31st, 2023 - about 2 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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