Laura Jean Wallace
Pediatrics | Female
Laura Jean Wallace is a Bloomington, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Laura Jean Wallace is
8600 Nicollet Ave S, Bloomington, Minnesota - 55420-2824. She can be contacted on phone at
952-541-2800 and fax number 952-886-7015.
Laura Jean Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Laura Jean Wallace is
1841619848 which was assigned by NPPES on 08 Apr, 2014 and it was last updated on 17 Mar, 2018.
Laura Jean Wallace license number is
61835 for Pediatrics (208000000X) in Minnesota.
Laura Jean Wallace is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Laura Jean Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Laura Jean Wallace |
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| Gender : | Female |
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Business Address:
Laura Jean Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8600 Nicollet Ave S
Bloomington, MN, 55420-2824
United States |
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| Phone Number : | 952-541-2800 |
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| Fax Number : | 952-886-7015 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841619848 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Apr, 2014 |
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| Last Updated On : | 17 Mar, 2018 |
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Medicare Participation:
Laura Jean Wallace participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7315167848 |
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| Medicare Enrollment ID : | I20171018000436 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2014 |
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| Accepts Medicare? | Yes. Laura Jean Wallace accepts medicare insurance. |
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Group Practice Association:
Laura Jean Wallace is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Laura Jean Wallace is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Healthpartners Medical Group | 1759293954 | 1352 | 8600 Nicollet Ave
Bloomington, MN - 554202824
Ph: 9528876600 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laura Jean Wallace are as mentioned. Primary taxonomy code for Laura Jean Wallace is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 61835 | MN |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | RS2014-0296 | NM |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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MSC 10 5590, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM, 87131-0001
United States | ALBUQUERQUE, NM | 505-272-5551 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8170 33rd Ave S
Minneapolis, MN, 55425-4516
United States |
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Business Location:
Patients can refer following map for directions to
Laura Jean Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.