Laura Jean Wallace
Laura Jean Wallace is a Student in an Organized Health Care Education/Training Program in Bloomington, Minnesota. Works from 2 locations. Licensed in Minnesota and New Mexico.
- Licensed in
- MN, NM
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
Bloomington, MNNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- Msc 10 5590, Albuquerque, NM 87131-0001 — (505) 272-5551
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 61835 (MN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence RS2014-0296 (NM) |
Record details
| NPI number | 1841619848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 8, 2014 |
| Last updated in NPPES | March 17, 2018 |
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