person
Lisa M. Wallace, FNP
Family Nurse Practitioner in Florence, South Carolina
NPI 1235637182

Lisa M. Wallace is a Family Nurse Practitioner based in Florence, SC and is specialized in Family. Lisa M. Wallace practices in Florence, SC and has the professional credentials of FNP. The NPI Number for Lisa M. Wallace is 1235637182 and holds a License No. 21595 (South Carolina).

The current practice location address for Lisa M. Wallace is 800 E Cheves St Ste 200, Florence, SC and can be reached out via phone at 843-662-1502 and via fax at 843-678-3611.

Location: 800 E Cheves St Ste 200, Florence, SC, 29502-3239
person
Provider Profile Details
NPI Number
1235637182
Provider Name
Lisa M. Wallace
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
800 E Cheves St Ste 200, Florence, SC, 29502-3239
Phone Number
843-662-1502
Fax Number
843-678-3611
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 E Cheves St Ste 200
City
State
Zip
29506-2651
Phone Number
843-662-1502
Fax Number
843-678-3611
person
Provider Business Mailing Address Details
Address
800 E Cheves St Ste 200
City
State
Zip
29506-2651
Phone Number
843-662-1502
Fax Number
843-678-3611
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
21595 (South Carolina)
Definition
Definition to come...
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