MS. Lisa Marie Wall, LPN

NPI #1801136122 in Sheridan, Wyoming

Provider Information

NPI Number
1801136122
Entity Type
Individual
Name
MS. Lisa Marie Wall, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 23, 2013
Last Updated
Feb 23, 2013

Practice Location

Address
659 E 5TH ST
State
Wyoming
ZIP Code
82801-3101
Phone
(307) 751-9624

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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