LUCY B WALLACE
Medical Practice at Clinton Ave, Dallas, TX

License number
Florida 112106
Issued Date
Feb 14, 2012
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address 2
930 N Clinton Ave, Dallas, TX 75208
1887 Kingsley Ave SUITE 1900, Orange Park, FL 32073
Phone
(214) 288-8995
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about LUCY B WALLACE at bizstanding.com

Orange Park Medical Center - Lucy B Wallace MD

2001 Kingsley Ave, Orange Park, FL 32073

Categories:
General Surgeons
Phone:
(904) 276-8500 (Phone)

LUCY B. WALLACE M.D., PA

4151 Wycliff Ave APT 101, Dallas, TX 75219

Status:
Inactive
Doing business as:
Lucy B. Wallace M.D., PA
Registration:
Jul 18, 2011
State ID:
0801453652
Business type:
Professional Association
Executive Committee:
Lucy Brooks Wallace Executive Committee, inactive
TIN:
32044657115

LUCY B. WALLACE MD, PA

930 N Clinton Ave, Dallas, TX 75208

Status:
Inactive
Doing business as:
Lucy B. Wallace M.D., PA
Registration:
Aug 26, 2013
State ID:
0801843118
Business type:
Professional Association
Agent:
Lucy B Wallace,930 N Clinton Ave, Dallas, TX 75208 (Physical)
TIN:
32051879057

Professional information

Lucy Wallace Photo 1

Lucy Wallace, Plano TX
Work:
Acute Surgical Care Specialists
 4001 W 15Th St, Plano, TX 75093 House Staff & Gme
 5201 Harry Hines Blvd, Dallas, TX 75235

Lucy B Wallace Photo 2

Dr. Lucy B Wallace, Orange Park FL - MD (Doctor of Medicine)
Specialties:
Family Medicine
Age:
48
Address:
2001 Kingsley Ave, Orange Park 32073
Languages:
English
Hospitals:
2001 Kingsley Ave, Orange Park 32073

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