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Search › Louisiana › 2255A2300X

Lilianna Wallace, MBA, LAT, ATC

NPI 1548012198 · on the registry since 2024

Practice

Address
906 E 1st St
Thibodaux, LA 70301
Phone
(985) 448-4805
Organisation at this address
Nicholls State University
The Foundation For The Advancement Of A Strategic Science Of Teaching
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Sex
Female
Record last updated
2026-08-20

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 Louisiana