Lisa N Wallace
NPI #1538969589 in New Hampton, New York
Provider Information
- NPI Number
- 1538969589
- Entity Type
- Individual
- Name
- Lisa N Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Mar 18, 2025
- Last Updated
- Mar 18, 2025
Practice Location
- Address
- 2834 ROUTE 17M
- City
- New Hampton
- State
- New York
- ZIP Code
- 10958-5011
- Phone
- (845) 374-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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