Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LODICA WALLACE
Active Sole ProprietorLODICA WALLACE is a Family Nurse Practitioner healthcare provider located in COMMERCE TWP, Michigan. NPI 1114587557 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · COMMERCE TWP, MI
Registration Details
- NPI Number
- 1114587557
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2019 (7.1420202970033 yrs)
- Last Updated
- Jun 18, 2019
- License
-
2018023394 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
790 DRAKESHIRE DRCOMMERCE TWP, MI, 483902981Browse MI providers · Browse ZIP 48390
- Phone
- 2489102762
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in COMMERCE TWP, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. LINDSAY ANNE BROSSY | FNP-BC | 1912382532 |
| TOBECHUKWU ANTHONIA UNAEGBU | — | 1467067520 |
| MIRANDA YALDO | FNP-C | 1235885823 |
| MEGAN SPARLING | FNP-C | 1053181149 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.