LAURIS WAGNER

MADISON, WI
NPI1548282049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  00409)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
-- LAURIS WAGNER NP
675 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-257-9700
Mailing Address
-- LAURIS WAGNER NP
1265 JOHN Q HAMMONS DR
MADISON, WI 53717-1941
Phone number: 608-251-4156
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