DAVID RICHARD WALLACE

LAKE CHARLES, LA
NPI1619968146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  015614)
Enumeration Date2005-11-03
Last Update Date2007-07-08
Business Address
Dr. DAVID RICHARD WALLACE MD
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480
Mailing Address
Dr. DAVID RICHARD WALLACE MD
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480
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