MR. RAYMOND WALLACE III LPN
NPI 1568821874
Licensed Vocational Nurse in Mandeville, LA

Q: What is Raymond Wallace's NPI number?

The NPI number for Raymond Wallace is 1568821874. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Q: What is Raymond Wallace's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Wallace was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 15, 2016

23861 SOUTH ROBIN RD, MANDEVILLE, LA 70448(985) 624-4100 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Raymond Wallace Iii Lpn NPPES

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

MR. RAYMOND WALLACE III LPN (NPI 1568821874) is an individual licensed vocational nurse in Mandeville, Louisiana, licensed in Louisiana (20101002) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1568821874

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameMR. RAYMOND WALLACE IIICredential: LPN

Location Address23861 SOUTH ROBIN RDMandeville, LA 70448

Mailing AddressPo Box 37Mandeville, LA 70470-0037

Phone(985) 624-4100

Sole ProprietorNo

Enumeration DateFebruary 15, 2016

✔ NPI 1568821874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in LA · 20101002

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

23861 SOUTH ROBIN RD, Mandeville, LA 70448

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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 Raymond Wallace's NPI number?

The NPI number for Raymond Wallace is 1568821874. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Raymond Wallace located?

Raymond Wallace practices at 23861 South Robin Rd, Mandeville, LA 70448. The listed phone number is (985) 624-4100.

What is Raymond Wallace's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Raymond Wallace was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.