LORI B WAGNER

TAMPA, FL
NPI1164601936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS6338)
Enumeration Date2007-10-30
Last Update Date2010-10-18
Business Address
Dr. LORI B WAGNER D.O.
1502 E FOWLER AVE
TAMPA, FL 33612-5416
Phone number: 813-866-0950
Mailing Address
Dr. LORI B WAGNER D.O.
3905 APPLETREE DR
VALRICO, FL 33594-4316
Phone number: 813-689-6051
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