Anna Lauren Wallace, RD, LD is a
Dietitian, Registered based in Mendenhall, Mississippi. Anna Lauren Wallace is licensed to practice in Mississippi (license number D1609) and her current practice location is
102 N. Main St., Mendenhall, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 847-2511.
NPI number for Anna Lauren Wallace is 1811318942 and her current mailing address is 102 N. Main St., Mendenhall, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811318942.
Healthcare Provider's Profile
Full Name | Anna Lauren Wallace |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 102 N. Main St., Mendenhall, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811318942
- Provider Enumeration Date: 12/16/2013
- Last Update Date: 12/26/2013
Medical Identifiers
Medical identifiers for Anna Lauren Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811318942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D1609 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anna Lauren Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anna Lauren Wallace, RD, LD 102 N. Main St., Mendenhall, MS 39114 Ph: (601) 847-2511 | Anna Lauren Wallace, RD, LD 102 N. Main St., Mendenhall, MS 39114 Ph: (601) 847-2511 |
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