Wallace, Lorien Rachel

Wallace, Lorien Rachel is an individual health care provider with primary practice located at 9961 Sierra Ave , Fontana CA 92335-6720. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Wallace, Lorien Rachel can be contacted via phone (909) 427-5000.

Contact Information

Primary practice address
9961 Sierra Ave Fontana CA 92335-6720
Phone: (909) 427-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20A13168 California

Profile Details

NPI number 1518220722
LBN Legal business name Wallace, Lorien Rachel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Dec 3rd, 2021 - about 3 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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