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Primary Practice Address
1921 STONECIPHER BLVD
ADA, OK 74820 US
Accepts Medicare Payment

PECOS Enrolled

Lewis Alfred Wallace

Internal Medicine Physician


Lewis Alfred Wallace

Overview

Lewis Alfred Wallace is a Internal Medicine Physician in the ADA area and has over 34 years of experience. Lewis Alfred Wallace primary office location is at 1921 STONECIPHER BLVD and new patients are welcome to contact this healthcare provider for an appointment. He attended Oklahoma State University College Of Osteopathic Medicine and graduated 1991

Lewis Alfred Wallace is affiliated with one hospital in the ADA area, CHICKASAW NATION MEDICAL CENTER. The NPI number is 1942292271 and the information was updated approximately 9 years ago.

Lewis Alfred Wallace is affiliated with one medical group in the ADA area, CHICKASAW NATION DIVISION OF HEALTH.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1921 STONECIPHER BLVD
ADA, OK 74820 US
Phone: (580)-421-4570
Fax:
Practice Mailing Information
1921 STONECIPHER BLVD
ADA, OK 74820 US
Phone: (580)-421-4570
Fax:

Practice Location Addresses: 3

License Number State
3060 OK

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