Lisa Ann Wallace is a licensed practical nurse in Horton, MI. The provider is a licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states. Lisa Ann Wallace NPI is 1992368872. 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:
8700 MOSHERVILLE RD
HORTON, MI
ZIP 49246-601
Phone: (517) 358-5830
The enumeration date for this NPI number is 4/17/2019 and was last updated on 12/12/2023.