LEQUANA WALLACE

Contractor

Active Individual
NPI: 1437849411

Practice Address

30364 PENNINGTON LN
Novi, MI 48377

Phone: (313) 737-8900

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1437849411 is the National Provider Identifier for LEQUANA WALLACE, a Contractor provider located in Novi, MI. This NPI was enumerated on May 11, 2023.
LEQUANA WALLACE practices at 30364 PENNINGTON LN, Novi, MI 48377.

Quick Facts

NPI
1437849411
Type
Individual
Enumerated
May 11, 2023
Last Updated
Jan 20, 2026

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