LILLIAN WALLACE

HARTFORD, CT
NPI1487497970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-06-13
Last Update Date2024-06-13
Business Address
LILLIAN WALLACE PA
80 SEYMOUR ST
HARTFORD, CT 06102-8000
Phone number: 860-545-9000
Mailing Address
LILLIAN WALLACE PA
175 CEDAR AVE
POUGHKEEPSIE, NY 12603-4727
Phone number: 845-392-3090