Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Wallace, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1790357135

Dr. Lisa Wallace, DO is an Anatomic Pathology & Clinical Pathology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone: (314) 503-9201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 2021023759 (MO)

Record details

NPI number1790357135
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

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