Wallace, Lisa Catherine Sims

Wallace, Lisa Catherine Sims is an individual health care provider with primary practice located at 421 West College St Infants And Childrens Clinic Pc, Florence AL 35630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wallace, Lisa Catherine Sims can be contacted via phone (256) 764-9522.

Contact Information

Primary practice address
421 West College St Infants And Childrens Clinic Pc Florence AL 35630
Phone: (256) 764-9522
Fax: (256) 764-1139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1756561 Alabama

Profile Details

NPI number 1770594400
LBN Legal business name Wallace, Lisa Catherine Sims
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770594400 NPPES
Alabama Other 51030973 BC

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