Individual provider · Type 1 NPI

Lisa M. Wallace, FNP

Family Nurse Practitioner · Florence, SC

NPI number 1235637182 Active

Practice location

800 E Cheves St Ste 200
Florence, SC 29506-2651

Call (843) 662-1502 Map

Fax (843) 678-3611

Mailing address

PO Box 3239
Florence, SC 29502-3239

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X21595 (SC)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Other family nurse practitioner providers in Florence

See all in Florence →

About NPI 1235637182

Lisa M. Wallace, FNP's National Provider Identifier is 1235637182, issued on Jan 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Florence, SC. The record was last updated on Feb 24, 2021.