LISA C WAGGONER

OMAHA, NE
NPI1568477958
Former NameLISA C PIC
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NE  100855)
Enumeration Date2006-07-31
Last Update Date2024-06-02
Business Address
LISA C WAGGONER CRNA
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Phone number: 402-552-3022
Mailing Address
LISA C WAGGONER CRNA
13130 N. 73RD PLAZA
OMAHA, NE 68122-1971
Phone number: 402-552-3022