Search › New York › 363A00000X
Laurie Wallace, RPA-C
NPI 1326261579 · on the registry since 2007 · sole proprietor
Practice
- Address
- 765 Route 25a Ste 6
Miller Place, NY 11764 - Phone
- (631) 320-3200
- Organisation at this address
- Long Island Family Medical
Platinum Family Medicine P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-10
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 York