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Contact Information

LORRAINE WALLACE
259 BALDWIN RD STE 203C
PARSIPPANY, NJ07054-7505
 Phone: 973-362-2091
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LORRAINE WALLACE · (Female)

NPI # 1699365486
Status Active
Credentials
Entity Individual
Enumeration date 01/25/2021
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NJ01106200
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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