LISA M. WALLACE

FLORENCE, SC
NPI1235637182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  21595)
Enumeration Date2018-01-25
Last Update Date2021-02-24
Business Address
LISA M. WALLACE FNP
800 E CHEVES ST STE 200
FLORENCE, SC 29506-2651
Phone number: 843-662-1502
Mailing Address
LISA M. WALLACE FNP
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 843-777-7098
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