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Mr. Raymond Wallace III, LPN
Licensed Vocational Nurse in Mandeville, Louisiana
NPI 1568821874

Raymond Wallace III is a Licensed Vocational Nurse based in Mandeville, LA. Raymond Wallace III practices in Mandeville, LA and has the professional credentials of LPN. The NPI Number for Raymond Wallace III is 1568821874 and holds a License No. 20101002 (Louisiana).

The current practice location address for Raymond Wallace III is 23861 South Robin Rd, Mandeville, LA and can be reached out via phone at 985-624-4100.

Location: 23861 South Robin Rd, Mandeville, LA, 70470-0037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568821874
Provider Name
Raymond Wallace III
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
23861 South Robin Rd, Mandeville, LA, 70470-0037
Phone Number
985-624-4100
Fax Number
Provider Enumeration Date
02/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23861 South Robin Rd
City
Mandeville
State
Louisiana
Zip
70448
Phone Number
985-624-4100
Fax Number
person
Provider Business Mailing Address Details
Address
23861 South Robin Rd
City
Mandeville
State
Louisiana
Zip
70448
Phone Number
985-624-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
20101002 (Louisiana)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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