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Contact Information

LUCY B WALLACE MD PA
175 RIDGE RD
SUITE 200
MCKINNEY, TX75070-5397
 Phone: 469-287-8381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LUCY B WALLACE MD PA · (Female)

NPI Number 1902284227
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2015
Last updated 05/07/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # N4832
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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