Wallace, Lodica
Wallace, Lodica is an sole proprietor health care provider with primary practice located at 790 Drakeshire Dr , Commerce Twp MI 48390-2981. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Lodica can be contacted via phone (248) 910-2762.Contact Information
Primary practice address
790 Drakeshire Dr
Commerce Twp MI 48390-2981
Phone: (248) 910-2762
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2018023394 | Michigan |
Profile Details
| NPI number | 1114587557 |
|---|---|
| LBN Legal business name | Wallace, Lodica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2019 |
| Last updated | Jun 18th, 2019 - about 5 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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