Lori A Wagner APRN

NPI 1710972260 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1710972260
Gender Female
Enumeration Date 09/12/2005
Last Updated 01/29/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2387 PROFESSIONAL HEIGHTS DR
SUITE 10
LEXINGTON KY, 40503-3004, US
Phone (859) 967-9486
Fax (859) 368-7780
Business Location
1890 STAR SHOOT PKWY
SUITE 170, PMB 348
LEXINGTON KY, 40509-4566, US
Phone (859) 797-5558
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Kentucky
License Number 3002772
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According to our database, Mrs. Lori A Wagner APRN NPI is 1710972260, taxonomy code is 363LA2100X and license number is 3002772, license state is located at Kentucky. Lori A Wagner APRN physically located at 2387 Professional Heights Dr, Lexington KY, 40503-3004. NPI Number Lori A Wagner APRN has the Individual type.

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1710972260 NPI number is provided on an as is basis without warranty of any kind. 1710972260 is maintained by the National Plan & Provider Enumeration System. The contents of Lori A Wagner APRN are for informational purposes only.