Individual provider · Type 1 NPI

Lori Sue Wallace, FNP-BC

Family Nurse Practitioner · Mount Orab, OH

NPI number 1427609759 Active

Practice location

150 Health Partners Cir
Mount Orab, OH 45154-8610

Fax (937) 444-4818

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.025720 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1427609759

Lori Sue Wallace, FNP-BC's National Provider Identifier is 1427609759, issued on Sep 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Orab, OH. The record was last updated on Apr 8, 2026.