Ms Lori Lynne Wallace, LPN, RCS is a
Licensed Practical Nurse based in Ironwood, Michigan. Ms Lori Lynne Wallace is licensed to practice in Wisconsin (license number 309826031) and her current practice location is
1009 N Hemlock St, Ironwood, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 364-4247.
NPI number for Ms Lori Lynne Wallace is 1548411523 and her current mailing address is 1009 N Hemlock St, Ironwood, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548411523.
Provider's Profile
| Full Name | Ms Lori Lynne Wallace |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 1009 N Hemlock St, Ironwood, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548411523
- Provider Enumeration Date: 10/08/2008
- Last Update Date: 10/08/2008
Medical Identifiers
Medical identifiers for Ms Lori Lynne Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548411523 | NPI | - | NPPES |
| 35061000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 309826031 (Wisconsin) | 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. Ms Lori Lynne 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 |
|---|
Ms Lori Lynne Wallace, LPN, RCS
1009 N Hemlock St,
Ironwood, MI 49938-1022
Ph: (906) 364-4247 | Ms Lori Lynne Wallace, LPN, RCS
1009 N Hemlock St,
Ironwood, MI 49938-1022
Ph: (906) 364-4247 |
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