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Raymond Wallace, LPN
NPI 1568821874 · Licensed Vocational Nurse · Mandeville, LA
Raymond Wallace, LPN is a Licensed Vocational Nurse provider in Mandeville, LA (NPI 1568821874).
Provider details
- NPI number
- 1568821874
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- 20101002 (LA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23861 South Robin Rd
Mandeville, LA 70448
Phone: (985) 624-4100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 37
Mandeville, LA 70470-0037
Registry dates
- Enumerated
- 2016-02-15
- Last updated
- 2016-02-15
Frequently asked questions
- What is Raymond Wallace's NPI number?
- Raymond Wallace's National Provider Identifier (NPI) is 1568821874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raymond Wallace's specialty?
- Raymond Wallace is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Raymond Wallace located?
- Raymond Wallace's practice location on file with NPPES is 23861 South Robin Rd, Mandeville, LA 70448.
- What is Raymond Wallace's phone number?
- The practice phone number listed in the NPPES registry for Raymond Wallace is (985) 624-4100.
- Is Raymond Wallace's NPI active?
- Yes — Raymond Wallace's NPI (1568821874) is active in the NPPES registry as of the last update on 2016-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.