Individual
SARAH N WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
290 MERRIMACK ST STE 106, LAWRENCE, MA 01843-1783
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89799
MA
Other
Enumeration date
12/07/2018
Last updated
05/09/2023
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