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

Dr. Laura Ann Wallace, MD

Individual provider General Practice Physician · NPI 1407119779

Dr. Laura Ann Wallace, MD is an Emergency Medicine in Saint Louis, Missouri. Graduated from Ohio State University College of Medicine in 2012, 14 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
Ohio State University College of Medicine
Licensed in
MO
In the registry since
2012
Specialties on file
2
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

400 S Kingshighway Blvd Dept Emergency Med
Saint Louis, MO 63110-1014
Phone: (314) 362-9123
Fax: (314) 747-3338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2014041289 (MO)
General Practice Physician Taxonomy 208D00000X · Licence 2014041289 (MO)

Record details

NPI number1407119779
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesGENERAL PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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