LISA LYNN WALLACE

JACKSONVILLE, FL
NPI1396403135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WN0002X Registered Nurse, Neonatal Intensive Care
(Licence: GA  RN089537)
Enumeration Date2021-11-29
Last Update Date2021-11-29
Business Address
LISA LYNN WALLACE RN
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8211
Phone number: 904-202-8000
Mailing Address
LISA LYNN WALLACE RN
546 ROCKY CREEK RD
HAMPTON, GA 30228-3071
Phone number: 678-414-7809
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