ANDREA WALLACE
Peer Specialist
Active
Individual
NPI: 1790654168
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1790654168 is the National Provider Identifier for ANDREA WALLACE, a Peer Specialist provider located in Lawton, OK. This NPI was enumerated on November 3, 2025.
ANDREA WALLACE practices at 2 SE LEE BLVD, Lawton, OK 73501.
Quick Facts
- NPI
- 1790654168
- Type
- Individual
- Enumerated
- Nov 3, 2025
- Last Updated
- Nov 7, 2025
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