Lisa Ann Wallace
Lisa Ann Wallace is a Licensed Practical Nurse in Horton, Michigan. Licensed in Michigan. Registered with an NPI since 2019.
- Licensed in
- MI
- In the registry since
- 2019
Practice location Address checks out
8700 Mosherville RdHorton, MI 49246-9601
Phone: (517) 358-5830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703086959 (MI) |
|---|
Record details
| NPI number | 1992368872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 17, 2019 |
| Last updated in NPPES | December 12, 2023 |
| Certification date | December 12, 2023 |
| Mailing address | 8700 Mosherville Rd, Horton, MI 49246-9601 |