Individual
ANNE LOUISE LAMBERT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
54181
CO
2086S0102X
Surgical Critical Care Physician
64305
TN
2086S0127X
Trauma Surgery Physician
Primary
64305
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004129700
—
MN
05
—
62052586
—
CO
Enumeration date
02/24/2006
Last updated
01/29/2022
Update your record
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