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Laura Wallace
NPI 1841619848 · on the registry since 2014
Practice
- Address
- 8600 Nicollet Ave S
Bloomington, MN 55420 - Phone
- (952) 541-2800
- Fax
- (952) 886-7015
- Organisation at this address
- Ocg Ltd
Group Health, Inc.
Group Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- Msc 10 5590, Albuquerque, NM
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 390200000X
- Licence states on file
- NM, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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 Minnesota