Individual
LORELEI WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 E PULTENEY SQ, BATH, NY 14810-1510
(607) 664-2438
Mailing address
3 E PULTENEY SQ, BATH, NY 14810-1510
(607) 664-2438
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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