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Individual
DR. LACI DESIRAE WANER
Active
Individual
DR. LACI DESIRAE WANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101272445
VA
207Q00000X
Family Medicine Physician
2021-01835
NC
207Q00000X
Family Medicine Physician
2021036991
MO
207Q00000X
Family Medicine Physician
29766
OK
207Q00000X
Family Medicine Physician
72317
CT
207Q00000X
Family Medicine Physician
ME143348
FL
207Q00000X
Family Medicine Physician
Primary
R1902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369616301
—
TX
05
—
369616303
—
TX
Enumeration date
06/21/2010
Last updated
11/20/2025
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