Mr. Lawrence Wallace
MD, PT | Orthopedic Surgery
1021 2nd Ave N Ste 6, North Myrtle Beach
South Carolina, 29582-3200
843-286-5168 844-318-8980
Maps & DirectionsMr. Lawrence Wallace is a North Myrtle Beach, South Carolina based orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Mr. Lawrence Wallace is 11194 for Physical Therapist in South Carolina.
Mr. Lawrence Wallace is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Mr. Lawrence Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | MD, PT |
| Gender: | Male |
| Practice Address: | 1021 2nd Ave N Ste 6, North Myrtle Beach,
South Carolina, 29582-3200 |
| Phone: | 843-286-5168 |
| Fax: | 844-318-8980 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1679567192 |
| NPI Enumeration Date: | 12 Sep, 2005 |
| NPI Last Update On: | 26 Jan, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Lawrence Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 11194 | Physical Therapist | South Carolina | Primary | |
| MD439714 | Orthopedic Surgery | Pennsylvania | Secondary | |
| P2177 | Physical Therapist | North Carolina | Secondary | |
| 0101234728 | Orthopedic Surgery | Virginia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Lawrence Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 010114446 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1021 2nd Ave N Ste 6,
North Myrtle Beach, South Carolina |
| Zip: | 29582-3200 |
| Phone Number: | 843-286-5168 |
| Fax Number: | 844-318-8980 |
Patients can reach Mr. Lawrence Wallace at
1021 2nd Ave N Ste 6, North Myrtle Beach, South Carolina or can
call to book an appointment on 843-286-5168.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.