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

Lisa N Wallace

Individual provider Registered Nurse · NPI 1538969589

Lisa N Wallace is a Registered Nurse in New Hampton, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

2834 Route 17M
New Hampton, NY 10958-5011
Phone: (845) 374-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 633930 (NY)

Record details

NPI number1538969589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address74 Doll Rd, Bloomingburg, NY 12721-5310

Other providers in New Hampton