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LESTER B. WALLACE JR. MD
NPI 1295749000
Obstetrics & Gynecology in Charlotte, NC

Active since July 28, 2006
1718 E 4TH ST, SUITE 201, CHARLOTTE, NC 28204(704) 384-0560(704) 384-0561 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lester B. Wallace Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESTER B. WALLACE JR. MD (NPI 1295749000) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (21891) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295749000
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameLESTER B. WALLACE JR.Credential: MD
Location Address1718 E 4TH ST, SUITE 201Charlotte, NC 28204-3261
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-0560 · Fax (704) 384-0561
Phone(704) 384-0560
Fax(704) 384-0561
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateFebruary 19, 2013
✔ NPI 1295749000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 21891
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1718 E 4TH ST, Charlotte, NC 28204
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Other Identifiers 5

Medicaid8985506NC
Medicare UPIND33024NC
Medicare PIN202118ENC
MedicaidN21891SC
Medicare ID-Type Unspecified202118CNC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204
Mecklenburg County (704) 598-7320
DR. PHILIP WILLIAM DE HOFF M. D.
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204
Mecklenburg County (704) 372-4000
STEPHANIE DAWN RITCHIE PA-C
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5100
NOVANT MEDICAL GROUP
Internal Medicine (Infectious Disease)
1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7840
JESSICA PUSKARICH NP
Nurse Practitioner
1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-1259
KAO NU LY PA-C
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204
Mecklenburg County (704) 376-5636
ROBERT BRIAN FAZIA MD
Internal Medicine (Cardiovascular Disease)
1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204
Mecklenburg County (704) 343-9800
NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-0560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lester Wallace's NPI number?

The NPI number for Lester Wallace is 1295749000. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Lester Wallace located?

Lester Wallace practices at 1718 E 4th St Suite 201, Charlotte, NC 28204. The listed phone number is (704) 384-0560.

What is Lester Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Lester Wallace was last updated on February 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.