Lisa M Wallace

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NPI Number Detailed Information

Provider Information:

Name:	Lisa M Wallace
Gender:	F
Provider License Number If Given:	906

NPI Information:

NPI:	1124002571
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	11/30/2005
Last Update Date:	3/15/2021

Provider Business Mailing Address:

Address:	PO BOX 273338 Fort Collins, CO 80527
Phone Number:	9708174049
Fax Number:	8778334460

Provider Business Practice Location Address:

Address:	4103 E BOARDWALK DRIVE SUITE 202 Fort Collins, CO 80525
Phone Number:	9708174049
Fax Number:	8778334460

Provider Taxonomy:

Primary:	101YM0800X
Secondary (if any):	101YP2500X
State:	CO

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About Lisa M Wallace

Lisa M Wallace ( LISA M WALLACE ) is Definition Counselor Physician in Fort Collins, CO. The NPI Number for Lisa M Wallace is 1124002571.

The current location address for Lisa M Wallace is 4103 E BOARDWALK DRIVE SUITE 202 Fort Collins, CO 80525 and the contact number is 9708174049 and fax number is 8778334460. The mailing address for Lisa M Wallace is PO BOX 273338 Fort Collins, CO 80527- 9708174049 (mailing address contact number - 9708174049).

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FAQs:

What is the NPI Number for Lisa M Wallace ?

Answer: The NPI Number for Lisa M Wallace is 1124002571

Where is Lisa M Wallace located?

Answer: Lisa M Wallace is located at 4103 E BOARDWALK DRIVE SUITE 202 Fort Collins, CO 80525.

What is the specialty for Lisa M Wallace ?

Answer: The Specialty of Lisa M Wallace is Definition Counselor Physician.

Are there any online reviews for Lisa M Wallace ?

Answer: Not yet!

Are there any other health care providers in Fort Collins, CO?

Answer: Yes, there are given below...

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