LAKEN WAGGONER

COLORADO SPRINGS, CO
NPI1336730977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CO  C-APN.0002303-C-NP)
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
LAKEN WAGGONER NP
1625 MEDICAL CENTER PT STE 100
COLORADO SPRINGS, CO 80907-5798
Phone number: 719-576-4744
Mailing Address
LAKEN WAGGONER NP
1689 SMOKE RIDGE DR
COLORADO SPRINGS, CO 80919-3489
Phone number: 812-583-8256
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