Individual provider · Type 1 NPI

Lauren Wallace, PA-C

Physician Assistant · Mcalester, OK

NPI number 1932851441 Active

Practice location

1 E Clark Bass Blvd Ste 201
Mcalester, OK 74501-4209

Mailing address

12624 SE 69th St
Oklahoma City, OK 73150-7438

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4427 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1932851441

Lauren Wallace, PA-C's National Provider Identifier is 1932851441, issued on Jan 25, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mcalester, OK. The record was last updated on Feb 14, 2022.