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

Laurel Slough Wallace, DO

Individual provider Family Medicine Physician · NPI 1225482946

Laurel Slough Wallace, DO is a Family Practice in Midlothian, Virginia. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2016, 10 years ago. Practices with Bon Secours St Francis Medical Center LLC, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
10
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
NC
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

13540 Hull Street Rd
Midlothian, VA 23112-2107
Phone: (804) 739-6142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 218358 (NC)

Record details

NPI number1225482946
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 19, 2016
Last updated in NPPESNovember 5, 2021
Certification dateMarch 24, 2021
Mailing address13540 Hull Street Rd, Midlothian, VA 23112-2107

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2016 (10 years in practice)
Group practice Bon Secours St Francis Medical Center Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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