LAURIE WALLACE, RPA-C

RPA-C

Physician Assistant

NPI: 1326261579IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

006630-1(NY)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 1998

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Contact & Hours

Address: 765 ROUTE 25A STE 6
MILLER PLACE, NY 11764
Phone: (631) 320-3200

Quick Facts

NPI: 1326261579
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 28

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