Active NPIIndividual provider

Robert L Wallace Sr.

Case Manager/Care Coordinator in Lynn, Massachusetts

NPI Number1538706957
Practice location
100 Willow St, Lynn, MA 01901-1139
Fax
781-691-7064
Last updated
December 4, 2019

Robert Lee Wallace is a Case Manager/Care Coordinator based in Lynn, MA. Robert Lee Wallace practices in Lynn, MA. The NPI Number for Robert Lee Wallace is 1538706957. The current practice location address for Robert Lee Wallace is 100 Willow St, Lynn, MA 01901-1139 and can be reached out via phone at 781-691-7060 and via fax at 781-691-7064.

Provider Profile Details

NPI Number
1538706957
Provider Name
Robert Lee Wallace
Provider Entity Type
Individual
Gender
Male
Address
100 Willow St, Lynn, MA 01901-1139
Phone Number
781-691-7060
Fax Number
781-691-7064
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2019
Last Update Date
December 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Willow St
Lynn, MA 01901-1139
City
Lynn
Zip
01901-1139
Phone Number
781-691-7060
Fax Number
781-691-7064
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
100 Willow St
Lynn, MA 01901-1139
City
Lynn
State
MA
Zip
01901-1139
Phone Number
781-691-7060
Fax Number
781-691-7064

License Information

License State
MA
Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Robert L Wallace Sr.?

The NPI number of Robert L Wallace Sr. is 1538706957. It was assigned on December 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Robert L Wallace Sr.?

Robert L Wallace Sr. is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Robert L Wallace Sr. practice?

The practice location is 100 Willow St, Lynn, MA 01901-1139. The office can be reached at 781-691-7060 (phone) or 781-691-7064 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538706957 directly on the NPPES registry website.

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