MR. RAYMOND WALLACE LPN NPI 1568821874

NPI Information

  • NPI: 1568821874
  • Provider Name: MR. RAYMOND WALLACE, LPN
  • Classification: Licensed Vocational Nurse - 164X00000X
  • Entity Type: Individual
  • Address: 23861 SOUTH ROBIN RD
    MANDEVILLE, LA
    ZIP 70448
  • Phone: (985) 624-4100

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NPI Details

MR. Raymond Wallace, LPN is a licensed vocational nurse in Mandeville, LA. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Raymond Wallace, LPN NPI is 1568821874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23861 SOUTH ROBIN RD
MANDEVILLE, LA
ZIP 70448
Phone: (985) 624-4100

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164X00000XLicensed Vocational Nurse20101002LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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