| Mr Lawrence Wallace, MD | |
|
790 Bryan St, Suite 1, Huntingdon, PA 16652-2410 | |
| (814) 643-8484 | |
| (814) 643-8487 |
| Full Name | Mr Lawrence Wallace |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 790 Bryan St, Huntingdon, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679567192 | NPI | - | NPPES |
| 010114446 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0101234728 (Virginia) | Primary |
| 207X00000X | Orthopaedic Surgery | MD439714 (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lawrence Wallace, MD 1225 Warm Springs Ave, Huntingdon, PA 16652-2350 Ph: (814) 643-8556 | Mr Lawrence Wallace, MD 790 Bryan St, Suite 1, Huntingdon, PA 16652-2410 Ph: (814) 643-8484 |
Robert R. Dahmus, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652 Phone: 814-643-8485 Fax: 814-643-7053 | |
William W Demuth, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652 Phone: 814-643-8485 Fax: 814-643-7053 | |
Dr. Winfried M. Berger, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1225 Warm Springs Ave, Huntingdon, PA 16652 Phone: 814-643-8416 Fax: 814-643-8552 |