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1790357135
LISA WALLACE
SAINT LOUIS, MO
NPI
1790357135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MO 2021023759)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
Dr. LISA WALLACE DO
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-503-9201
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Mailing Address
Dr. LISA WALLACE DO
660 S EUCLID AVE
SAINT LOUIS, MO 63110-1010
Phone number: 314-503-9201
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