Individual provider · Type 1 NPI
Lodica Wallace
Family Nurse Practitioner · Commerce Township, MI
NPI number
1114587557
Active
Practice location
790 Drakeshire Dr
Commerce Township, MI 48390-2981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2018023394 (MI) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Commerce Township
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- Kelsey A. AustinFamily Nurse Practitioner Commerce Township, MI NPI 1104530591
- Laura Michelle Derrick, FNP-CFamily Nurse Practitioner Commerce Township, MI NPI 1124671680
- Rachel Whitney Nestor, FNP-BCFamily Nurse Practitioner Commerce Township, MI NPI 1154069458
- Khalil Mustapha Hamadi, FNP-CFamily Nurse Practitioner Commerce Township, MI NPI 1184445132
- Kristina Fulmer, FNP-CFamily Nurse Practitioner Commerce Township, MI NPI 1194246389
- Miranda Yaldo, FNP-CFamily Nurse Practitioner Commerce Township, MI NPI 1235885823
- Meghan Rachelle Neill, NP-BCFamily Nurse Practitioner Commerce Township, MI NPI 1417501842
About NPI 1114587557
Lodica Wallace's National Provider Identifier is 1114587557, issued on Jun 18, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Commerce Township, MI. The record was last updated on Jun 18, 2019.