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Lucy-Bertha Wallang, PA-C

NPI 1538111539 · on the registry since 2006

Practice

Address
2675 Main St W
Snellville, GA 30078
Phone
(770) 866-5147
Clinicians at this address
4

Additional practice sites

  • 333 1st St Ste A, San Francisco, CA
  • 400 N Tampa St Fl 15, Tampa, FL
  • 505 E Grand Ave Ste 200, Des Moines, IA
  • 156 William St Rm 303, New York, NY
  • 1331 H St Nw Ste 200, Washington, DC
  • 790 N Milwaukee St Ste 313, Milwaukee, WI

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
363AM0700X
363AM0700X
363AM0700X
363AM0700X
363AM0700X
363AM0700X
Licence states on file
CA, NY, FL, DC, IA, WI, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-06

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 Georgia