Individual provider · Type 1 NPI

Lolita Lashell Wallace, MED ASST HHA STNA

Home Health Aide · Ravenna, OH

NPI number 1710194402 Active

About NPI 1710194402

Lolita Lashell Wallace, MED ASST HHA STNA's National Provider Identifier is 1710194402, issued on May 16, 2007. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Ravenna, OH. The record was last updated on Jul 8, 2007.