MR. ERNEST WALLACE
Contractor
Active
Individual
NPI: 1942612551
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1942612551 is the National Provider Identifier for MR. ERNEST WALLACE, a Contractor provider located in Lawton, OK. This NPI was enumerated on May 30, 2014.
MR. ERNEST WALLACE practices at 1716 NW CACHE RD, SUITE B, Lawton, OK 73507.
Quick Facts
- NPI
- 1942612551
- Type
- Individual
- Enumerated
- May 30, 2014
- Last Updated
- May 30, 2014
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