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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEWIS ALFRED WALLACE, DO

Active

LEWIS ALFRED WALLACE, DO is a Internal Medicine healthcare provider located in ADA, Oklahoma. NPI 1942292271 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · ADA, OK

Registration Details

NPI Number
1942292271
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2005 (20.8297282862 yrs)
Last Updated
Sep 14, 2016
License
3060 (OK)

Practice Information

Address
1921 STONECIPHER BLVD
ADA, OK, 74820
Browse OK providers · Browse ZIP 74820
Phone
5804214570
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in ADA, OK

Name Credential NPI
DR. SEMIRA CHARBONEAU D.O. 1619975745
JERRY S MORGAN M D L L C 1316945363
RODNEY L. HUDDLESTON MD 1992705024
STEVEN LOUIS FILLMORE M.D. 1225010655
MR. DONG ZHAO M.D. 1619942752
BRUCE W DENNIS MD 1760450555
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.