1134438286 Lisa M Wallace, NP
Adult Health Nurse Practitioner
Active
Basic Information
- Full Name
- Lisa M Wallace, NP
- Gender
- Female
- Enumeration Date
- October 6, 2010
- Last Update
- April 6, 2023
Practice Location
- Address
- 2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 473033432 - Phone
- (765) 289-5420
- Fax
- (765) 281-2065
Mailing Address
- Address
- 250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adult Health Nurse Practitioner Adult Health | 363LA2200X | Nurse Practitioner | 71003281A | IN | Primary |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | 71003281A | IN | No |
| Oncology Clinical Nurse Specialist Oncology | 364SX0200X | Clinical Nurse Specialist | 71003281A | IN | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201000070 | 05 | IN | N/A |
| 00000932255 | 01 | IN | ANTHEM |
Additional Practice Locations
831 N Theatre Drive
Marion, IN 469521701
Marion, IN 469521701
Phone: (765) 660-7800
Fax: (765) 662-4470
Digital Endpoints
DIRECT
lisa.wallace@mgh.eclinicaldirectplus.com
DIRECT Use: DIRECT
lwallace@direct.iuhealth.org
Frequently Asked Questions
What is Lisa M Wallace, NP's NPI number?
Lisa M Wallace, NP's NPI number is 1134438286.
Which doctor has NPI number 1134438286?
The doctor with NPI number 1134438286 is Lisa M Wallace, NP.
What is Lisa M Wallace, NP's practice address?
Lisa M Wallace, NP's practice address is 2525 W UNIVERSITY AVE STE 300, MUNCIE, IN, 473033432.
Which doctor practices at 2525 W UNIVERSITY AVE STE 300, MUNCIE, IN, 473033432?
Lisa M Wallace, NP practices at 2525 W UNIVERSITY AVE STE 300, MUNCIE, IN, 473033432.
What is Lisa M Wallace, NP's mailing address?
Lisa M Wallace, NP's mailing address is 250 N SHADELAND AVE, INDIANAPOLIS, IN, 462194959.
What is Lisa M Wallace, NP's phone number?
Lisa M Wallace, NP's phone number is (765) 289-5420.
Who is (765) 289-5420?
(765) 289-5420 is the phone number for Lisa M Wallace, NP.
What is Lisa M Wallace, NP's specialty?
Lisa M Wallace, NP's specialty is Adult Health Nurse Practitioner.
What type of doctor is Lisa M Wallace, NP?
Lisa M Wallace, NP is a Adult Health Nurse Practitioner.
Is Lisa M Wallace, NP a Adult Health?
Yes, Lisa M Wallace, NP is a Adult Health.
Is Lisa M Wallace, NP still practicing?
Yes, Lisa M Wallace, NP is currently practicing.
Is Lisa M Wallace, NP accepting new patients?
Lisa M Wallace, NP may be accepting new patients. Please call their office at (765) 289-5420 to inquire about availability.
Is NPI 1134438286 still active?
Yes, NPI 1134438286 is currently active.
Where does Lisa M Wallace, NP practice?
Lisa M Wallace, NP practices in MUNCIE, IN.
Is Lisa M Wallace, NP a male or female doctor?
Lisa M Wallace, NP is a female doctor.