LYNN K WAGNER

DE PERE, WI
NPI1164458899
Former NameLYNN K LULLOFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  49400)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: CA  A89772)
Enumeration Date2006-06-24
Last Update Date2018-05-22
Business Address
LYNN K WAGNER MD
106 N WISCONSIN ST
DE PERE, WI 54115
Phone number: 920-327-7056
Mailing Address
LYNN K WAGNER MD
164 N BROADWAY
GREEN BAY, WI 54303-2728
Phone number: 920-490-9046