Lori Wagner

NPI #1073116406 in Crestline, Ohio

Provider Information

NPI Number: 1073116406
Entity Type: Individual
Name: Lori Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 805 N SELTZER ST
City: Crestline
State: Ohio
ZIP Code: 44827-1043
Phone: (419) 545-4341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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