Individual provider · Type 1 NPI

Elizabeth Lee Wallace

Emergency Registered Nurse · Lafayette, IN

NPI number 1780483941 Active

Practice location

5165 Mccarty Ln, Lafayette, In 47905
Lafayette, IN 47905

Mailing address

3001 Burton Rd
Westpoint, IN 47992-9339

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X28263926A (IN)

Emergency Registered Nurse: Definition to come...

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About NPI 1780483941

Elizabeth Lee Wallace's National Provider Identifier is 1780483941, issued on Mar 11, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Lafayette, IN. The record was last updated on Mar 11, 2025.