Dr. Lawrence Norman Wallace
Oral and Maxillofacial Surgeon
2 Middle Canyon Rd
Carmel Valley
, California 93924-9404
Dr. Lawrence Norman Wallace
Oral and Maxillofacial Surgeon
2 Middle Canyon Rd
Carmel Valley
, California 93924-9404
(831) 659-9300
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Lawrence Norman Wallace
- 2 Middle Canyon Rd
- Carmel Valley, CA
- Zip : 93924-9404
- Phone : (831) 659-9300
Second Address
- Dr. Lawrence Norman Wallace
- 2 Middle Canyon Rd
- Carmel Valley, CA
- Zip : 93924-9404
- Phone : (831) 659-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 21-770 | IL |
National Provider Identifier
| NPI | 1043486962 |
|---|---|
| Provider Name | Dr. Lawrence Norman Wallace |
| First Address | Carmel Valley, CA 93924-9404 |
| Second Address | Carmel Valley, CA 93924-9404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2008 |
| Last Update Date | 30/04/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.