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Mrs. Lisa Carol Wallace, FNP-BC
Family Nurse Practitioner in Allerton, Iowa
NPI 1003423658

Lisa Carol Wallace is a Family Nurse Practitioner based in Allerton, IA and is specialized in Family. Lisa Carol Wallace practices in Allerton, IA and has the professional credentials of FNP-BC. The NPI Number for Lisa Carol Wallace is 1003423658 and holds a License No. A160503 (Iowa).

The current practice location address for Lisa Carol Wallace is 2418 180Th St, Allerton, IA and can be reached out via phone at 641-203-0726.

Location: 2418 180Th St, Allerton, IA, 50008-8715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003423658
Provider Name
Lisa Carol Wallace
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2418 180Th St, Allerton, IA, 50008-8715
Phone Number
641-203-0726
Fax Number
Provider Enumeration Date
09/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2418 180Th St
City
Allerton
State
Iowa
Zip
50008-8715
Phone Number
641-203-0726
Fax Number
person
Provider Business Mailing Address Details
Address
2418 180Th St
City
Allerton
State
Iowa
Zip
50008-8715
Phone Number
641-203-0726
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A160503 (Iowa)
Definition
Definition to come...
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