Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lailun Wallace, MD

Individual provider Emergency Medicine Physician · NPI 1942465356

Dr. Lailun Wallace, MD is an Emergency Medicine in Cave Creek, Arizona. Qualified in 2008, 18 years ago. Practices with Emergency Group of Arizona Professional Corporation, a 98-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5227 E Carefree Hwy
Cave Creek, AZ 85331-9173
Phone: (602) 824-3900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301093013 (MI)

Record details

NPI number1942465356
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2008
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address13677 W McDowell Rd, Goodyear, AZ 85395-2635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Emergency Group Of Arizona Professional Corporation — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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