Mrs Lisa Carol Wallace, FNP-BC - Nurse Practitioner in Allerton, IA

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Mrs Lisa Carol Wallace, FNP-BC is a Nurse Practitioner - Family based in Allerton, Iowa. Mrs Lisa Carol Wallace is licensed to practice in Iowa (license number A160503) and her current practice location is 2418 180th St, Allerton, Iowa. She can be reached at her office (for appointments etc.) via phone at (641) 203-0726.

NPI number for Mrs Lisa Carol Wallace is 1003423658 and her current mailing address is 2418 180th St, Allerton, Iowa. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003423658.

Contact Information

Mrs Lisa Carol Wallace, FNP-BC
2418 180th St,
Allerton, IA 50008-8715
(641) 203-0726
Not Available

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Provider's Profile

Full NameMrs Lisa Carol Wallace
GenderFemale
SpecialityNurse Practitioner - Family
Location2418 180th St, Allerton, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003423658
  • Provider Enumeration Date: 09/28/2020
  • Last Update Date: 09/28/2020

Medical Identifiers

Medical identifiers for Mrs Lisa Carol Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003423658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A160503 (Iowa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Carol Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa Carol Wallace, FNP-BC
2418 180th St,
Allerton, IA 50008-8715

Ph: (641) 203-0726		Mrs Lisa Carol Wallace, FNP-BC
2418 180th St,
Allerton, IA 50008-8715

Ph: (641) 203-0726

Reviews and Comments


Nurse Practitioner Nurses in Allerton, IA


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