Wagner, Lisa M.

Wagner, Lisa M. is an individual health care provider with primary practice located at 328 Antrim Rd , Xenia OH 45385-2420. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Wagner, Lisa M. can be contacted via phone (937) 372-7960.

Contact Information

Primary practice address
328 Antrim Rd Xenia OH 45385-2420
Phone: (937) 372-7960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1063418432
LBN Legal business name Wagner, Lisa M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 19 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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