Search › Florida › 207Q00000X
Lydia Wallace, D.O
NPI 1215139381 · on the registry since 2007
Practice
- Address
- 131 S Citrus Ave
Inverness, FL 34452 - Phone
- (352) 344-6930
- Fax
- (352) 344-4955
- Organisation at this address
- Todd Sisto Md Pa
P Kenneth Newman Md Pa
Farhaad C Golkar Md Pa
Jennifer M L Fox Dpm Pa
Golkar Md Consulting LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 208M00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-11
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 Florida