Wagner, Lucille Marie

Wagner, Lucille Marie is an individual health care provider with primary practice located at 17456 Beach Blvd , Huntington Beach CA 92647-5913. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Wagner, Lucille Marie can be contacted via phone (714) 841-2688.

Contact Information

Primary practice address
17456 Beach Blvd Huntington Beach CA 92647-5913
Phone: (714) 841-2688
Fax: (714) 841-2688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC3506 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6997 California

Profile Details

NPI number 1841368768
LBN Legal business name Wagner, Lucille Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Sep 10th, 2010 - about 16 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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