LYDIA WALLACE

ALBUQUERQUE, NM
NPI1417344581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  MD2019-0840)
Enumeration Date2015-04-16
Last Update Date2020-05-06
Business Address
LYDIA WALLACE
101 HOSPITAL LOOP NE
ALBUQUERQUE, NM 87109-2129
Phone number: 615-928-6268
Mailing Address
LYDIA WALLACE
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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