Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS LURA WALLACE, LISW
Active Sole ProprietorMISS LURA WALLACE, LISW is a Clinical Social Worker healthcare provider located in LAS CRUCES, New Mexico. NPI 1629141635 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LAS CRUCES, NM
Registration Details
- NPI Number
- 1629141635
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2006 (19.755671938851 yrs)
- Last Updated
- Sep 10, 2015
- License
-
I-3362 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1990E LOHMAN AVE 204LAS CRUCES, NM, 880013172Browse NM providers · Browse ZIP 88001
- Phone
- 5755250304
- Fax
- 5755244813
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| ERIKA LYNN THOMPSON | LCSW | 1407843766 |
| MR. MARK TIMOTHY WILLIAMS | LISW,LCSW,LADAC | 1952383762 |
| JON PAUL DEBORD | LCSW | 1487625950 |
| JANIS ANN BURKHARDT | LCSW | 1346284072 |
| MS. KRISTIN LINNEA LARSEN | — | 1932136538 |
| MRS. VIRGINIA M CHAVEZ | LISW, LADAC | 1619909900 |
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.