LISA WALLACE, CRNP

Nurse Practitioner - Pediatrics

Active Individual
NPI: 1770594400

Practice Address

421 WEST COLLEGE ST
INFANTS AND CHILDRENS CLINIC PC
Florence, AL 35630

Phone: (256) 764-9522

Specialties

Specialty Code Primary License
Nurse Practitioner - Pediatrics 363LP0200X Yes 1756561 (AL)

Frequently Asked Questions

NPI 1770594400 is the National Provider Identifier for LISA WALLACE, CRNP, a Nurse Practitioner - Pediatrics provider located in Florence, AL. This NPI was enumerated on August 10, 2006.
LISA WALLACE, CRNP practices at 421 WEST COLLEGE ST, INFANTS AND CHILDRENS CLINIC PC, Florence, AL 35630.

Quick Facts

NPI
1770594400
Type
Individual
Enumerated
Aug 10, 2006
Last Updated
Jul 8, 2007

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