Mrs Lisa Carol Wallace, FNP-BC is a
Nurse Practitioner - Family based in Allerton, Iowa. Mrs Lisa Carol Wallace is licensed to practice in Iowa (license number A160503) and her current practice location is
2418 180th St, Allerton, Iowa. She can be reached at her office (for appointments etc.) via phone at
(641) 203-0726.
NPI number for Mrs Lisa Carol Wallace is 1003423658 and her current mailing address is 2418 180th St, Allerton, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003423658.
Provider's Profile
Full Name | Mrs Lisa Carol Wallace |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2418 180th St, Allerton, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003423658
- Provider Enumeration Date: 09/28/2020
- Last Update Date: 09/28/2020
Medical Identifiers
Medical identifiers for Mrs Lisa Carol Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003423658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | A160503 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Carol Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lisa Carol Wallace, FNP-BC 2418 180th St, Allerton, IA 50008-8715 Ph: (641) 203-0726 | Mrs Lisa Carol Wallace, FNP-BC 2418 180th St, Allerton, IA 50008-8715 Ph: (641) 203-0726 |
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