Lauren Wallace, PA-C

NPI #1932851441 in Mcalester, Oklahoma

Provider Information

NPI Number
1932851441
Entity Type
Individual
Name
Lauren Wallace, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 25, 2022
Last Updated
Feb 14, 2022

Practice Location

Address
1 E CLARK BASS BLVD STE 201
ZIP Code
74501-4209
Phone
(918) 421-6753

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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