Lisa Wallace, CRNP

NPI 1770594400 · on the registry since 2006

Practice

Address: 421 West College St
Infants And Childrens Clinic Pc
Florence, AL 35630
Phone: (256) 764-9522
Fax: (256) 764-1139
Organisation at this address: Infants And Childrens Clinic Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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 Alabama