Lourdes Ivette Wallace, AGACNP-BC is an adult health nurse practitioner in Boerne, TX with 10 years of experience. Lourdes Ivette Wallace, AGACNP-BC NPI is 1659773869. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
113 PLEASANT VALLEY DR STE 210
BOERNE, TX
ZIP 78006-683
Phone: (830) 267-4575
Fax: (830) 267-4575
The NPI 1659773869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/18/2014 and was last updated on 9/3/2020.