Individual provider · Type 1 NPI
Lisa Carol Wallace, FNP-BC
Family Nurse Practitioner · Allerton, IA
NPI number
1003423658
Active
Practice location
2418 180th St
Allerton, IA 50008-8715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | A160503 (IA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1003423658
Lisa Carol Wallace, FNP-BC's National Provider Identifier is 1003423658, issued on Sep 28, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Allerton, IA. The record was last updated on Sep 28, 2020.