Lori Ann Wallace, LPN
NPI #1396231924 in West Liberty, Ohio
Provider Information
- NPI Number
- 1396231924
- Entity Type
- Individual
- Name
- Lori Ann Wallace, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 6, 2018
- Last Updated
- Jul 6, 2018
Practice Location
- Address
- 116 W COLUMBUS ST
- City
- West Liberty
- State
- Ohio
- ZIP Code
- 43357-1100
- Phone
- (937) 844-8186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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