Individual provider · Type 1 NPI

Lisa Marie Wallace, CRNA

Certified Registered Nurse Anesthetist · Macon, GA

NPI number 1548439375 Active

Practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

598 3rd St
Macon, GA 31201-3357

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X1-097840 (AL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1548439375

Lisa Marie Wallace, CRNA's National Provider Identifier is 1548439375, issued on Feb 26, 2008. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Macon, GA. The record was last updated on Jun 5, 2015.