LILIANNA WALLACE
NPI 1548012198
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since April 04, 2024
10527 JADE WALK ST, LAS VEGAS, NV 89179(312) 639-3130 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lilianna Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILIANNA WALLACE (NPI 1548012198) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1548012198
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILIANNA WALLACE
Location Address10527 JADE WALK STLas Vegas, NV 89179-1489
Mailing Address10527 Jade Walk StLas Vegas, NV 89179-1489
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
NPI 1548012198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
10527 JADE WALK ST, Las Vegas, NV 89179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilianna Wallace's NPI number?

The NPI number for Lilianna Wallace is 1548012198. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Lilianna Wallace located?

Lilianna Wallace practices at 10527 Jade Walk St, Las Vegas, NV 89179. The listed phone number is (312) 639-3130.

What is Lilianna Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lilianna Wallace was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.