Search › Louisiana › 1041C0700X
Dionne Wallace
NPI 1487948568 · on the registry since 2011
Practice
- Address
- 1010 Auburn Ave
Lafayette, LA 70503 - Phone
- (337) 261-2300
- Fax
- (337) 261-9080
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-30
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 Louisiana