Lisa Wallace, RN
NPI #1720476641 in Mather, California
Provider Information
- NPI Number
- 1720476641
- Entity Type
- Individual
- Name
- Lisa Wallace, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- RN
- Enumeration Date
- Dec 30, 2014
- Last Updated
- Nov 12, 2021
Practice Location
- Address
- 10535 HOSPITAL WAY
- City
- Mather
- State
- California
- ZIP Code
- 95655-4200
- Phone
- (916) 366-5336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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