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LISA ANN WALLACE
NPI 1992368872
Licensed Practical Nurse in Horton, MI

Active since April 17, 2019
8700 MOSHERVILLE RD, HORTON, MI 49246(517) 358-5830 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Apr 17, 2019 (2 updates tracked since 2019).

About Lisa Ann Wallace NPPES

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

LISA ANN WALLACE (NPI 1992368872) is an individual licensed practical nurse in Horton, Michigan, licensed in Michigan (4703086959) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1992368872
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA ANN WALLACE
Location Address8700 MOSHERVILLE RDHorton, MI 49246-9601
Mailing Address8700 Mosherville RdHorton, MI 49246-9601 · (517) 358-5830
Phone(517) 358-5830
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1992368872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703086959
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
8700 MOSHERVILLE RD, Horton, MI 49246
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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 Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1992368872. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Lisa Wallace located?

Lisa Wallace practices at 8700 Mosherville Rd, Horton, MI 49246. The listed phone number is (517) 358-5830.

What is Lisa Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Wallace was last updated on December 12, 2023. 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.