LISA WALLACE

CLEVELAND, OH
NPI1013349000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OH  NP-14866)
Enumeration Date2013-08-01
Last Update Date2013-08-01
Business Address
-- LISA WALLACE CNP
18101 LORAIN AVE
CLEVELAND, OH 44111-5612
Phone number: 216-476-7000
Mailing Address
-- LISA WALLACE CNP
PO BOX 74953
CLEVELAND, OH 44194-1036
Phone number: 440-879-0081