Search › Massachusetts › 171M00000X
Robert Wallace
NPI 1538706957 · on the registry since 2019
Practice
- Address
- 100 Willow St
Lynn, MA 01901 - Phone
- (781) 691-7060
- Fax
- (781) 691-7064
- Organisation at this address
- Lynn Shelter Association
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-04
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 Massachusetts