person
Lisa Michelle Wallace, DDS
Student in an Organized Health Care Education/Training Program in Rochester, New York
NPI 1497216568

Lisa Michelle Wallace is a Student in an Organized Health Care Education/Training Program based in Rochester, NY. Lisa Michelle Wallace practices in Rochester, NY and has the professional credentials of DDS. The NPI Number for Lisa Michelle Wallace is 1497216568 and holds a License No. (New York).

The current practice location address for Lisa Michelle Wallace is 625 Elmwood Ave # 683, Rochester, NY and can be reached out via phone at 585-275-8315.

Location: 625 Elmwood Ave # 683, Rochester, NY, 14620-2913
person
Provider Profile Details
NPI Number
1497216568
Provider Name
Lisa Michelle Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
625 Elmwood Ave # 683, Rochester, NY, 14620-2913
Phone Number
585-275-8315
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Elmwood Ave # 683
City
State
Zip
14620-2913
Phone Number
585-275-8315
Fax Number
person
Provider Business Mailing Address Details
Address
625 Elmwood Ave # 683
City
State
Zip
14620-2913
Phone Number
585-275-8315
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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