Laury M Wallace, NP

NPI #1205343845 in Westfield, Indiana

Provider Information

NPI Number
1205343845
Entity Type
Individual
Name
Laury M Wallace, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine - Adult Medicine
Credential
NP
Enumeration Date
Jan 4, 2018
Last Updated
Jan 4, 2018

Practice Location

Address
16731 GAITHER BLVD
State
Indiana
ZIP Code
46074-4607
Phone
(317) 561-6840

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adolescent MedicineAdolescent Medicine
Family Medicine - Geriatric MedicineGeriatric Medicine
Family Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Family Medicine - Adult MedicineAdult Medicine

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