Individual
LINDSAY M WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(205) 979-5882
(205) 979-1248
Mailing address
PO BOX 11407, DEPT 2290, BIRMINGHAM, AL 35246-0100
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-132710
AL
Other
Enumeration date
02/01/2012
Last updated
09/26/2014
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