LEWIS WALLACE, DO
Internal Medicine
Active
Individual
NPI: 1942292271
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 3060 (OK) |
Frequently Asked Questions
NPI 1942292271 is the National Provider Identifier for LEWIS WALLACE, DO, a Internal Medicine provider located in Ada, OK. This NPI was enumerated on August 23, 2005.
LEWIS WALLACE, DO practices at 1921 STONECIPHER BLVD, Ada, OK 74820.
Quick Facts
- NPI
- 1942292271
- Type
- Individual
- Enumerated
- Aug 23, 2005
- Last Updated
- Sep 14, 2016
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