Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lodica Wallace

Individual provider Family Nurse Practitioner · NPI 1114587557

Lodica Wallace is a Family Nurse Practitioner in Commerce Twp, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

790 Drakeshire Dr
Commerce Twp, MI 48390-2981
Phone: (248) 910-2762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018023394 (MI)

Record details

NPI number1114587557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019

Other providers in Commerce Twp