LORI J WAGNER

PHOENIX, AZ
NPI1114202421
Former NameLORI M WAGNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  AP4240)
Enumeration Date2011-10-18
Last Update Date2018-03-30
Business Address
LORI J WAGNER FNP
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0920
Mailing Address
LORI J WAGNER FNP
3200 E CAMELBACK RD STE 250
PHOENIX, AZ 85018-2327
Phone number: 602-933-1814
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