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Luciana Wallace

NPI 1285439000 · on the registry since 2025 · sole proprietor

Practice

Address
575 S 19th St
Newark, NJ 07103
Phone
(973) 626-1800

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2025-02-17

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 New Jersey