Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LACIE VICTORIA WALLACE, MD
ActiveDR. LACIE VICTORIA WALLACE, MD is a Family Medicine healthcare provider located in MT PLEASANT, South Carolina. NPI 1366018012 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MT PLEASANT, SC
Registration Details
- NPI Number
- 1366018012
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2021 (5.1888672233005 yrs)
- Last Updated
- Sep 11, 2024
- Licenses
-
LL86050 (SC)86050 (SC)
Practice Information
- Address
-
1400 HOSPITAL DRMT PLEASANT, SC, 294643255Browse SC providers · Browse ZIP 29464
- Phone
- 8438841341
- Fax
- 8438841345
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MT PLEASANT, SC
| Name | Credential | NPI |
|---|---|---|
| DR. DEMETRIOS A PAPADOPOULOS | MD | 1568458453 |
| DR. PATRICK SCOTT LOVEGROVE | DO | 1417945171 |
| ROMITA L WALLEN | MD | 1356332563 |
| DR. PRISCILLA WILCOX HOLTZCLAW | M.D. | 1164404844 |
| DR. GREGORY ASHLEY PERRON | M.D. | 1912985151 |
| DR. TED ALAN DUNN | M.D. | 1578527768 |
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.