Individual provider · Type 1 NPI

Lauren Wallis

Family Nurse Practitioner · Binghamton, NY

NPI number 1679445696 Active

Practice location

169 Riverside Dr
Binghamton, NY 13905-4246

Mailing address

31 Midwood Dr
Binghamton, NY 13903-1921

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X357599 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1679445696

Lauren Wallis's National Provider Identifier is 1679445696, issued on Sep 19, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Binghamton, NY. The record was last updated on Sep 19, 2025.