Search › Indiana › 207R00000X
Lance Wallace, M.D
NPI 1538100128 · on the registry since 2006
Practice
- Address
- 2150 Gettler St Ste 400
Dyer, IN 46311 - Phone
- (219) 864-4970
- Fax
- (219) 864-4990
- Organisation at this address
- Cardiospecialists Group, Ltd
Fresenius Medical Care Nw Indiana, Llc
Illiana Cardiovascular Consultants, Llc
Bio-Medical Applications Of Indiana, Inc.
Franciscan Senior Health And Wellness DyerInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 20939 S Cicero Ave, Matteson, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-15
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 Indiana