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1568477958
LISA C WAGGONER
OMAHA, NE
NPI
1568477958
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Former Name
LISA C PIC
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NE 100855)
Enumeration Date
2006-07-31
Last Update Date
2024-06-02
Business Address
LISA C WAGGONER CRNA
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Phone number: 402-552-3022
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Mailing Address
LISA C WAGGONER CRNA
13130 N. 73RD PLAZA
OMAHA, NE 68122-1971
Phone number: 402-552-3022
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