Lisa Wallace
Nurse Practitioner - Acute Care
18101 Lorain Ave
Cleveland
, Ohio 44111-5612
Lisa Wallace
Nurse Practitioner - Acute Care
18101 Lorain Ave
Cleveland
, Ohio 44111-5612
(440) 879-0084
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Lisa Wallace
- Po Box 74953
- Cleveland, OH
- Zip : 44194-1036
- Fax : (440) 879-0084
- Phone : (440) 879-0081
Second Address
- Lisa Wallace
- 18101 Lorain Ave
- Cleveland, OH
- Zip : 44111-5612
- Phone : (216) 476-7000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | NP-14866 | OH |
National Provider Identifier
| NPI | 1013349000 |
|---|---|
| Provider Name | Lisa Wallace |
| First Address | Cleveland, OH 44194-1036 |
| Second Address | Cleveland, OH 44111-5612 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.