Individual provider · Type 1 NPI

Lauren Wallace

Specialist · Worcester, MA

NPI number 1376336636 Active

Practice location

108 Grove St
Worcester, MA 01605-2651

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376336636

Lauren Wallace's National Provider Identifier is 1376336636, issued on May 28, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Worcester, MA. The record was last updated on May 28, 2025.