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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
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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