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

Lauren Wallace, MD

Individual provider Family Medicine Physician · NPI 1063828184

Lauren Wallace, MD is a Family Practice in Duluth, Minnesota. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2013, 13 years ago. Practices with St Luke's Hospital of Duluth, a 413-clinician group and accepts Medicare assignment. Licensed in Illinois, Minnesota and Missouri.

Years since qualifying
13
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, MN, MO
In the registry since
2014
Specialties on file
3
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

4190 Loberg Ave
Duluth, MN 55811-2652
Phone: (218) 249-4600
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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 73123 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125065769 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2021034580 (MO)

Record details

NPI number1063828184
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address4190 Loberg Ave, Duluth, MN 55811-2652

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2013 (13 years in practice)
Group practice St. Luke'S Hospital Of Duluth — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Duluth