Lorie Wallace
NPI #1225427131 in Pacoima, California
Provider Information
- NPI Number
- 1225427131
- Entity Type
- Individual
- Name
- Lorie Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jan 15, 2015
- Last Updated
- Jan 15, 2015
Practice Location
- Address
- 11643 GLENOAKS BLVD
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-1050
- Phone
- (818) 897-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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