Search › South Carolina › 363LA2100X
Lisa Wallace, CNP
NPI 1013349000 · on the registry since 2013
Practice
- Address
- 200 Patewood Dr Ste B300
Greenville, SC 29615 - Phone
- (864) 454-4200
- Fax
- (864) 454-4205
- Organisation at this address
- Helse Alliance, Llc
Prisma Health-Upstate
Prisma Health-Upstate
Prisma Health-Upstate
Prisma Health-UpstateInferred from a shared address, not stated in the registry. - Clinicians at this address
- 499
Additional practice sites
- 18101 Lorain Ave, Cleveland, OH
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2100X
- Licence states on file
- OH, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina