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

Lodica Wallace

Individual provider Family Nurse Practitioner · NPI 1114587557

Lodica Wallace is a Family Nurse Practitioner in Commerce Twp, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

790 Drakeshire Dr
Commerce Twp, MI 48390-2981
Phone: (248) 910-2762
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018023394 (MI)

Record details

NPI number1114587557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019
Mailing address790 Drakeshire Dr, Commerce Twp, MI 48390-2981

Other providers in Commerce Twp