Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962194506 Individual Practitioner Female Practitioner

Latia Marie Wallace , LPN

Licensed Practical Nurse • Aurora, OH

Professional Overview & Biography Verified Profile Summary

Latia Wallace, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Aurora, OH. Practice services are available at 134 ASHLAND LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

134 Ashland Ln

Aurora, OH 442028877

Telephone 4406651662

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Aurora, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Aurora, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-23
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH 180564

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 23, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 23, 2023

Registered at 134 ASHLAND LN, AURORA, OH 442028877 (Tel: 4406651662)

📍
Updated Business Mailing Address May 23, 2023

Registered at 134 ASHLAND LN, AURORA, OH 442028877 (Tel: 4406651662)

👤
Provider Name / Credentials Updated May 23, 2023

Recorded as LATIA WALLACE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2023

Licensed Practical Nurse (License #180564 in OH)

🟢
Initial NPI Registration & Enumeration May 23, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962194506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2023
Last Update: May 23, 2023
Sole Proprietor: Yes

Mailing Address

134 Ashland Ln

Aurora, OH 442028877

Phone: 4406651662

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.