Individual
LARS M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
KENTUCKY CLINIC OFC J-457, 740 S. LIMESTONE, LEXINGTON, KY 40536-0284
(859) 218-0931
(859) 257-1888
Mailing address
KENTUCKY CLINIC OFC J-457, 740 S. LIMESTONE, LEXINGTON, KY 40536-0284
(859) 218-0931
(859) 257-1888
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
32169
KY
Other
Enumeration date
12/26/2006
Last updated
11/01/2013
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