Individual
BOBBI WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 SCHNEIDER DR, LEBANON, PA 17046-4875
(717) 273-8000
Mailing address
243 SCHNEIDER DR, LEBANON, PA 17046-4875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
276242
PA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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