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

Robert Lee Wallace Sr.

Individual provider Case Manager/Care Coordinator · NPI 1538706957

Robert Lee Wallace Sr. is a Case Manager/Care Coordinator in Lynn, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.

Licensed in
MA
In the registry since
2019

Practice location Address checks out

100 Willow St
Lynn, MA 01901-1139
Phone: (781) 691-7060
Fax: (781) 691-7064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (MA)

Record details

NPI number1538706957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESDecember 4, 2019
Mailing address100 Willow St, Lynn, MA 01901-1139

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