Search › Louisiana › 164X00000X
Raymond Wallace, LPN
NPI 1568821874 · on the registry since 2016
Practice
- Address
- 23861 South Robin Rd
Mandeville, LA 70448 - Phone
- (985) 624-4100
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-15
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