Lenie Wagoner
NPI #1376128991 in Central Square, New York
Provider Information
- NPI Number
- 1376128991
- Entity Type
- Individual
- Name
- Lenie Wagoner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Mar 15, 2021
- Last Updated
- Mar 15, 2021
Practice Location
- Address
- 2399 COUNTY ROUTE 12
- City
- Central Square
- State
- New York
- ZIP Code
- 13036-2347
- Phone
- (315) 741-6331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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