Lakeisha Wagner LPN

NPI 1770963175 - Home Health - 251E00000X

NPI Details
NPI 1770963175
Gender Female
Enumeration Date 06/02/2015
Last Updated 06/02/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2070 VINE STREET
APT 3
ALLENTOWN PA, 18103, US
Phone (917) 943-9337
Fax
Business Location
2070 VINE ST
APT 3
ALLENTOWN PA, 18103-5725, US
Phone (917) 943-9337
Fax
Toxanomy
Taxonomy Code 251E00000X
License State
License Number
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According to our database, Lakeisha Wagner LPN NPI is 1770963175, taxonomy code is 251E00000X Lakeisha Wagner LPN physically located at 2070 Vine Street, Allentown PA, 18103. NPI Number Lakeisha Wagner LPN has the Individual type.

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1770963175 NPI number is provided on an as is basis without warranty of any kind. 1770963175 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeisha Wagner LPN are for informational purposes only.