LYDIA V. WALLACE, D.O., P.A.

Clinic/Center - Community Health

Active Organization
NPI: 1861766941

Practice Address

3021 N 66TH AVE
Hollywood, FL 33024

Phone: (754) 281-8202

Specialties

Specialty Code Primary License
Clinic/Center - Community Health 261QC1500X Yes OS 10688 (FL)

Frequently Asked Questions

NPI 1861766941 is the National Provider Identifier for LYDIA V. WALLACE, D.O., P.A., a Clinic/Center - Community Health provider located in Hollywood, FL. This NPI was enumerated on March 7, 2012.

Quick Facts

NPI
1861766941
Type
Organization
Enumerated
Mar 7, 2012
Last Updated
Mar 7, 2012

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