Individual
MR. LLOYD DENTON WAGGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1166 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4602
(816) 524-8018
(816) 524-8049
Mailing address
1166 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4602
(816) 524-8018
(816) 524-8049
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1424
MO
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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