LISA CAROL WALLACE

ALLERTON, IA
NPI1003423658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A160503)
Enumeration Date2020-09-28
Last Update Date2020-09-28
Business Address
Mrs. LISA CAROL WALLACE FNP-BC
2418 180TH ST
ALLERTON, IA 50008-8715
Phone number: 641-203-0726
Mailing Address
Mrs. LISA CAROL WALLACE FNP-BC
2418 180TH ST
ALLERTON, IA 50008-8715
Phone number: 641-203-0726