Lequana Wallace

NPI #1437849411 in Novi, Michigan

Provider Information

NPI Number: 1437849411
Entity Type: Individual
Name: Lequana Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 11, 2023
Last Updated: Jan 20, 2026

Practice Location

Address: 30364 PENNINGTON LN
City: Novi
State: Michigan
ZIP Code: 48377-1740
Phone: (313) 737-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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Organizations

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