Wagner, Lori A

Wagner, Lori A is an individual health care provider with primary practice located at 2387 Professional Heights Dr Ste 180 , Lexington KY 40503-3013. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wagner, Lori A can be contacted via phone (859) 967-9486.

Contact Information

Primary practice address
2387 Professional Heights Dr Ste 180 Lexington KY 40503-3013
Phone: (859) 967-9486
Fax: (859) 368-7780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3002772 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3002772 Kentucky
Nursing Service Providers / Registered Nurse 163W00000X 1078503 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002772 Kentucky

Profile Details

NPI number 1710972260
LBN Legal business name Wagner, Lori A
Credentials MSN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 27th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710972260 NPPES
Other 11221661 CAQH
Other 1078503 CAQH
MEDICAID 78000007 CAQH
Other 3002772 CAQH

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