Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA MARIE VANDER WALL, R.N., CF-M
ActiveMRS. LISA MARIE VANDER WALL, R.N., CF-M is a Ophthalmic Nurse healthcare provider located in MAYWOOD, Illinois. NPI 1114061785 is currently active in the NPPES registry. Verify at CMS.
Ophthalmic Nurse · MAYWOOD, IL
Registration Details
- NPI Number
- 1114061785
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2007 (19.516644161949 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
2160 S 1ST AVEMAYWOOD, IL, 601533328Browse IL providers · Browse ZIP 60153
- Phone
- 7083272058
- Primary Specialty
-
Ophthalmic Nurse
163WX0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.