Marquita Wallace
NPI 1598087900 · on the registry since 2010
Practice
- Address
- 600 N Highway 190
Suite 4
Covington, LA 70433 - Phone
- (615) 887-1379
- Organisation at this address
- Catherine L. Austin, Ph.D., Llc
Hanger Prosthetics & Orthotics Inc
Gulf South Medical & Surgical Institute, Inc.
Covington Dental Office Of Joseph R. Lacoste, Jr, DdsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-25
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