Lori Wagner-tanico RN

NPI 1104068816 - Registered Nurse - 163W00000X

NPI Details
NPI 1104068816
Gender Female
Enumeration Date 03/26/2009
Last Updated 03/26/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
950 S OYSTER BAY RD
HICKSVILLE NY, 11801-3510, US
Phone (516) 822-6111
Fax (516) 369-0553
Business Location
950 S OYSTER BAY RD
HICKSVILLE NY, 11801-3510, US
Phone (516) 822-6111
Fax (516) 369-0553
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 492163
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According to our database, Ms. Lori Wagner-tanico RN NPI is 1104068816, taxonomy code is 163W00000X and license number is 492163, license state is located at New York. Lori Wagner-tanico RN physically located at 950 S Oyster Bay Rd, Hicksville NY, 11801-3510. NPI Number Lori Wagner-tanico RN has the Individual type.

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1104068816 NPI number is provided on an as is basis without warranty of any kind. 1104068816 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Wagner-tanico RN are for informational purposes only.