Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYDIA VALLADARES WALLACE, D.O.
ActiveDR. LYDIA VALLADARES WALLACE, D.O. is a Family Medicine healthcare provider located in INVERNESS, Florida. NPI 1215139381 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · INVERNESS, FL
Registration Details
- NPI Number
- 1215139381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2007 (19.204333893115 yrs)
- Last Updated
- Jan 11, 2017
- Licenses
-
OS 10688 (FL)OS 10688 (FL)
Practice Information
- Address
-
131 S CITRUS AVEINVERNESS, FL, 344524701Browse FL providers · Browse ZIP 34452
- Phone
- 3523446930
- Fax
- 3523444955
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Hospitalist
Other Family Medicine Providers in INVERNESS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. YOUSSEF KHALIL KHODOR | DO | 1437155017 |
| DR. JOSHUA SUMMERS | M.D. | 1619954328 |
| TARA CONNOR | DO | 1417998915 |
| KANTA SAIGAL | MD | 1760423172 |
| DR. ROBERT B HOLSTEIN | DO | 1588609093 |
| DR. HABTU MEGENTA ADERA | M.D. | 1609897719 |
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.