Lakenya Wallace (NPI# 1437559408, PAC ID# 4183844590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437559408 |
| PAC ID by PECOS | 4183844590 |
| Professional Enrollment ID | I20141007002579 |
| Full Name | Lakenya Wallace |
| Organization Legal Name | LEGACY PHYSIATRY GROUP LLC |
| Address |
5493 Wiles Rd Suite 106 Coconut Creek FL 33073-4219 |
| Phone Number | 7052056348 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759353519 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5493 Wiles Rd, Suite 106, Coconut Creek, FL 33073-4219 | 7052056348 | LEGACY PHYSIATRY GROUP LLC |
| 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 | 9728814688 | LEGACY PHYSIATRY GROUP LLC |
| Organization Legal Name | LEGACY PHYSIATRY GROUP LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Kelly | Nurse Practitioner | Legacy Physiatry Group LLC | 5493 Wiles Rd, Suite 106, Coconut Creek, FL 33073-4219 |
| Stella C Apari | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Martha Smith | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Neena Papneja | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Kristen Elaine White | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Brenda Payne | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Kathleen M Oneill | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Kathleen Rodriguez | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Ugochi Odinmah | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Dusty R Wilkins | Nurse Practitioner | Legacy Physiatry Group LLC | 850 Central E Pkwy, Suite 275, Plano, TX 75074-5542 |
| Street Address |
5493 WILES RD SUITE 106 |
| City | COCONUT CREEK |
| State | FL |
| Zip | 33073-4219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Kelly | Nurse Practitioner | Legacy Physiatry Group LLC | 5493 Wiles Rd, Suite 106, Coconut Creek, FL 33073-4219 |
| Kristen J Ryan | Nurse Practitioner | Legacy Physiatry Group LLC | 5493 Wiles Rd, Suite 106, Coconut Creek, FL 33073-4219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shai M Karpf | Chiropractic | 6544 N State Rd, Suite 7, Coconut Creek, FL 33073 | |
| Marta Khris | Family Medicine | Complete Local Specialty Care Inc | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 |
| Jean Claude Jean | Internal Medicine | Complete Local Specialty Care Inc | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 |
| Carolyn Maldonado Garcia | General Practice | Complete Local Specialty Care Inc | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 |
| Harley J Bofshever | Chiropractic | 4213 W Hillsboro Blvd, Coconut Creek, FL 33073-3210 | |
| Travis Chapman | Nurse Practitioner | Solantic South Florida LLC | 4450 N State Rd, 7 Suite 1, Coral Springs, FL 33073-3354 |
| Ryan J Skarbek | Pediatric Medicine | Solantic South Florida LLC | 4450 N State Rd, 7 Suite 1, Coral Springs, FL 33073-3354 |
| Renee J Murphy | Internal Medicine | Solantic South Florida LLC | 4450 N State Rd, 7 Suite 1, Coral Springs, FL 33073-3354 |
| Marvin L Stein | Urology | Urology Medical Specialists, Pa | 4515 Wiles Rd, Suite 201, Coconut Creek, FL 33073-3414 |
| Matthew C Popkin | Internal Medicine | 5576 W Sample Rd, Margate, FL 33073-3423 | |
| Find all physicians in zip 33073 | |||
| City | COCONUT CREEK |
| Zip Code | 33073 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COCONUT CREEK + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.