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1720072911
LANCE W. WAGNER
BROOKLYN, NY
NPI
1720072911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 186118-1)
Enumeration Date
2005-09-02
Last Update Date
2017-01-04
Business Address
DR. LANCE W. WAGNER M.D.
450 CLARKSON AVE
BROOKLYN, NY 11203-2056
Phone number: 718-270-3126
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Mailing Address
DR. LANCE W. WAGNER M.D.
450 CLARKSON AVE BOX 1262
BROOKLYN, NY 11203-2056
Phone number: 718-270-8867
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