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

Lester B. Wallace Jr., MD

Individual provider Obstetrics & Gynecology Physician · NPI 1295749000

Lester B. Wallace Jr., MD is an Obstetrics & Gynecology Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

1718 E 4th St Ste 201
Charlotte, NC 28204-3261
Phone: (704) 384-0560
Fax: (704) 384-0561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 21891 (NC)

Record details

NPI number1295749000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESFebruary 19, 2013

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