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1831686369
LAURIE MEAGAN WALLACE
WASHINGTON, DC
NPI
1831686369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 2075)
Enumeration Date
2018-04-19
Last Update Date
2021-12-08
Business Address
LAURIE MEAGAN WALLACE DO
5801 DEFENSE PENTAGON
WASHINGTON, DC 20310-6600
Phone number: 703-692-8810
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Mailing Address
LAURIE MEAGAN WALLACE DO
5801 DEFENSE PENTAGON
WASHINGTON, DC 20310-5801
Phone number:
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