Wallace, Laurie J

Wallace, Laurie J is an individual health care provider with primary practice located at 9500 Stockdale Hwy Ste 203 , Bakersfield CA 93311-3621. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wallace, Laurie J can be contacted via phone (661) 587-8110.

Contact Information

Primary practice address
9500 Stockdale Hwy Ste 203 Bakersfield CA 93311-3621
Phone: (661) 587-8110
Fax: (661) 587-8220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1316076367
LBN Legal business name Wallace, Laurie J
Credentials MS,RD,CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Sep 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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