Individual provider · Type 1 NPI
Lester B. Wallace Jr., MD
Obstetrics & Gynecology Physician · Charlotte, NC
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
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | 21891 (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.