Laura Wagner

NPI #1013628262 in Kingsport, Tennessee

Provider Information

NPI Number
1013628262
Entity Type
Individual
Name
Laura Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Dec 8, 2022
Last Updated
Jun 21, 2024

Practice Location

Address
105 W STONE DR STE 1F
ZIP Code
37660-3365
Phone
(423) 230-2420

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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