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Search › Florida › 101YM0800X

Lisa Wallace

NPI 1992125892 · on the registry since 2014

Practice

Address
2392 Edgewood Ave N
Jacksonville, FL 32254
Phone
(904) 781-0600
Organisation at this address
North West Behaviorial
Northwest Behavioral Health
Northwest Behavioral Health
Northwest Bhvrl Hlth Svs,Inc
Northwest Behavioral Hlth Svs Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
150

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2015-03-26

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 Florida