NPI 1801136122

Lisa Marie Wall, LPN

Practitioner Licensed Practical Nurse Sheridan, WY

Practice location

Address: 659 E 5th St, Sheridan, WY 82801-3101
Phone: (307) 751-9624

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN30652 (MT)

Other Licensed Practical Nurse providers in Wyoming →

Registry record

NPI: 1801136122
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2013
Record last updated: 23 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.