Lannie Wagner

NPI #1407044142 in Freeport, Illinois

Provider Information

NPI Number
1407044142
Entity Type
Individual
Name
Lannie Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 9, 2007
Last Updated
Oct 9, 2007

Practice Location

Address
701 W LAMM RD
ZIP Code
61032-9630
Phone
(815) 233-6162

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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