| Victoria Wallace, LPN | |
|
3737 Lander Rd, Pepper Pike, OH 44124-5712 | |
| (216) 831-2255 | |
| (216) 378-3906 |
| Full Name | Victoria Wallace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3737 Lander Rd, Pepper Pike, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629386552 | NPI | - | NPPES |
| 0268768 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN.097550-MEDS (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Wallace, LPN 3737 Lander Rd, Pepper Pike, OH 44124-5712 Ph: (216) 831-2255 | Victoria Wallace, LPN 3737 Lander Rd, Pepper Pike, OH 44124-5712 Ph: (216) 831-2255 |
Rebecca J. Belair, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 30800 Chagrin Blvd, Pepper Pike, OH 44124 Phone: 216-591-0324 Fax: 216-591-1243 | |
Erin Rachel Shanes, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Denise K Tilocco, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 |