| Mrs Lisa Carol Wallace, FNP-BC | |
|
2418 180th St, Allerton, IA 50008-8715 | |
| (641) 203-0726 | |
| Not Available |
| Full Name | Mrs Lisa Carol Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2418 180th St, Allerton, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003423658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A160503 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Carol Wallace, FNP-BC 2418 180th St, Allerton, IA 50008-8715 Ph: (641) 203-0726 | Mrs Lisa Carol Wallace, FNP-BC 2418 180th St, Allerton, IA 50008-8715 Ph: (641) 203-0726 |
News Archive
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