Search › Indiana › 207QA0505X
Laury Wallace, NP
NPI 1205343845 · on the registry since 2018 · sole proprietor
Practice
- Address
- 16731 Gaither Blvd
Westfield, IN 46074 - Phone
- (317) 561-6840
- Fax
- (812) 239-3771
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Also registered as
- 207QA0000X
207QG0300X
207QH0002X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana