Individual
LAUREN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 W POPLAR ST STE A, WALLA WALLA, WA 99362-2757
(503) 593-2613
Mailing address
2335 OSWEGO GLEN CT, LAKE OSWEGO, OR 97034-1548
(503) 593-2613
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14223358-2401
UT
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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