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Dr. David Richard Wallace, MD
Pediatrics Physician in Lake Charles, Louisiana
NPI 1619968146

David Richard Wallace is a Pediatrics Physician based in Lake Charles, LA. David Richard Wallace practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for David Richard Wallace is 1619968146 and holds a License No. 015614 (Louisiana).

The current practice location address for David Richard Wallace is 2903 1St Ave, Lake Charles, LA and can be reached out via phone at 337-478-6480 and via fax at 337-474-9637.

Location: 2903 1St Ave, Lake Charles, LA, 70601-8809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619968146
Provider Name
David Richard Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2903 1St Ave, Lake Charles, LA, 70601-8809
Phone Number
337-478-6480
Fax Number
337-474-9637
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1329762 05 LA
institution
Provider Business Practice Location Address Details
Address
2903 1St Ave
City
Lake Charles
State
Louisiana
Zip
70601-8809
Phone Number
337-478-6480
Fax Number
337-474-9637
person
Provider Business Mailing Address Details
Address
2903 1St Ave
City
Lake Charles
State
Louisiana
Zip
70601-8809
Phone Number
337-478-6480
Fax Number
337-474-9637
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
015614 (Louisiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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