Individual provider · Type 1 NPI

Lester B. Wallace Jr., MD

Obstetrics & Gynecology Physician · Charlotte, NC

NPI number 1295749000 Active

Practice location

1718 E 4th St, Suite 201
Charlotte, NC 28204-3261

Fax (704) 384-0561

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X21891 (NC)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1295749000

Lester B. Wallace Jr., MD's National Provider Identifier is 1295749000, issued on Jul 28, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 19, 2013.