NPI 1437849411

Lequana Wallace

Practitioner Contractor Livonia, MI

Practice location

Address: 19821 Farmington Rd, Livonia, MI 48152-1444
Phone: (248) 707-2912
Fax: (248) 707-2912

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1437849411
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2023
Record last updated: 30 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.