Search › Missouri › 101YM0800X
Lacey Wallace, MS, PLPC
NPI 1710461868 · on the registry since 2018
Practice
- Address
- 2131 S Eastgate Ave
Springfield, MO 65809 - Phone
- (417) 763-3309
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-24
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 Missouri