Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841619848 Individual Practitioner Female Practitioner

Laura Jean Wallace

Pediatrics • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Laura Wallace is a registered healthcare professional specializing in Pediatrics in Bloomington, MN. Practice services are available at 8600 NICOLLET AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8600 Nicollet Ave S

Bloomington, MN 554202824

Telephone 9525412800
Fax 9528867015
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1619037660

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
21 Specialists

Practicing in Bloomington, MN (1325 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 61835

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License NM RS2014-0296

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

Msc 10 5590, 1 University Of New Mexico

Albuquerque, NM 871310001

Phone: 5052725551

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
NPI 1023046828

Doctor of Medicine (M.D.)

Doctor of Optometry

Kaihan Fakhar

Ophthalmology

NPI 1114312980
Megan Ferge

Social Worker - Clinical

NPI 1134587603
Dr. Elger Lorenzsonn , MD

Internal Medicine

NPI 1144292145

Doctor of Medicine (M.D.)

NPI 1174596555

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program (License #RS2014-0296 in NM)

NPI Profile Active October 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2017

Registered at 8600 NICOLLET AVE S, BLOOMINGTON, MN 554202824 (Tel: 9525412800)

📍
Updated Business Mailing Address October 05, 2017

Registered at 8170 33RD AVE S, MINNEAPOLIS, MN 554254516

👤
Provider Name / Credentials Updated October 05, 2017

Recorded as LAURA WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2017

Pediatrics (License #61835 in MN)

📍
Updated Practice Location September 09, 2017

Registered at 8600 NICOLLET AVE S, BLOOMINGTON, MN 554202824 (Tel: 9525412800)

📍
Updated Business Mailing Address September 09, 2017

Registered at 8170 33RD AVE S, MINNEAPOLIS, MN 554254516

NPI Profile Active June 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2014

Registered at MSC 10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052725551)

📍
Updated Business Mailing Address June 28, 2014

Registered at MSC 10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052725551)

👤
Provider Name / Credentials Updated June 28, 2014

Recorded as LAURA WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2014

Student in an Organized Health Care Education/Training Program (License #RS2014-0296 in NM)

🟢
Initial NPI Registration & Enumeration April 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841619848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2014
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

8170 33rd Ave S

Minneapolis, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.