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1083824593
LISA WAGNER
NEW YORK, NY
NPI
1083824593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: NY 430343)
Enumeration Date
2007-05-23
Last Update Date
2014-10-22
Business Address
LISA WAGNER NP
1250 BROADWAY, 17TH FLOOR VISITING NURSE SERVICE OF NEW YORK
NEW YORK, NY 10001
Phone number: 212-465-2751
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Mailing Address
LISA WAGNER NP
170 E 87TH ST PH2B
NEW YORK, NY 10128-2214
Phone number: 917-492-8702
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