LISA WAGNER

DAVENPORT, IA
NPI1558219824
Former NameLISA VERCAUTREN
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IA  P54764)
Enumeration Date2026-03-20
Last Update Date2026-03-20
Business Address
LISA WAGNER
2826 W LOCUST ST STE 2A
DAVENPORT, IA 52804-3354
Phone number: 563-332-8528
Mailing Address
LISA WAGNER
2826 W LOCUST ST STE 2A
DAVENPORT, IA 52804-3354
Phone number: