Individual
LISA ANNE WANGERIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
654 E 47TH ST, CHICAGO, IL 60653-4224
(773) 624-4800
(773) 624-5028
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.007984
IL
Other
Enumeration date
05/23/2010
Last updated
11/04/2022
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