Wagner, Lia

Wagner, Lia is an individual health care provider with primary practice located at 3211 Lassiter St , Durham NC 27707-3879. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wagner, Lia can be contacted via phone (518) 928-5019.

Contact Information

Primary practice address
3211 Lassiter St Durham NC 27707-3879
Phone: (518) 928-5019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1871211326
LBN Legal business name Wagner, Lia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2022
Last updated Aug 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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