Lenae E Vanwagnen MD LLC

NPI #1811798697 in Jackson, Michigan

Provider Information

NPI Number: 1811798697
Entity Type: Organization
Organization Name: Lenae E Vanwagnen MD LLC
Primary Specialty: Pediatrics
Enumeration Date: Mar 19, 2025
Last Updated: Apr 18, 2025

Practice Location

Address: 1310 GREENWOOD AVE LOWR LEVEL
City: Jackson
State: Michigan
ZIP Code: 49203-3077
Phone: (517) 962-0123

Authorized Official

Name: LENAE ELIZABETH VANWAGNEN, MD
Title: OWNER
Phone: (517) 962-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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