MR. LAWRENCE WALLACE, MD, PT
Physical Therapist
Active
Individual
NPI: 1679567192
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthopaedic Surgery | 207X00000X | No | 0101234728 (VA) |
| Physical Therapist | 225100000X | Yes | 11194 (SC) |
Frequently Asked Questions
NPI 1679567192 is the National Provider Identifier for MR. LAWRENCE WALLACE, MD, PT, a Physical Therapist provider located in North Myrtle Beach, SC. This NPI was enumerated on September 12, 2005.
MR. LAWRENCE WALLACE, MD, PT practices at 1021 2ND AVE N STE 6, North Myrtle Beach, SC 29582.
Quick Facts
- NPI
- 1679567192
- Type
- Individual
- Enumerated
- Sep 12, 2005
- Last Updated
- Jan 26, 2026
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