Lauralee Wallace, is a
Physical Therapist based in Montague, California. Lauralee Wallace is licensed to practice in California (license number PT20432) and her current practice location is
11239 Ball Mtn Little Shasta Rd, Montague, California. She can be reached at her office (for appointments etc.) via phone at
(530) 340-1490.
NPI number for Lauralee Wallace is 1326647447 and her current mailing address is 11239 Ball Mtn Little Shasta Rd, Montague, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326647447.
Healthcare Provider's Profile
Full Name | Lauralee Wallace |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 11239 Ball Mtn Little Shasta Rd, Montague, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326647447
- Provider Enumeration Date: 10/20/2020
- Last Update Date: 10/20/2020
Medical Identifiers
Medical identifiers for Lauralee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326647447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT20432 (California) | 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. Lauralee 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 |
Lauralee Wallace, 11239 Ball Mtn Little Shasta Rd, Montague, CA 96064-9682 Ph: (530) 340-1490 | Lauralee Wallace, 11239 Ball Mtn Little Shasta Rd, Montague, CA 96064-9682 Ph: (530) 340-1490 |
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