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Lesley Wallace
NPI 1417763632 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1103 E Main St Ste C
Mountain View, AR 72560 - Phone
- (870) 200-6995
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-04
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 Arkansas