Organization
LISA A. WAGNER CHIROPRACTIC, INC
Active
Organization
LISA A. WAGNER CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN WAGNER DC (SOLE OWNER)
(626) 852-2822
Entity
Organization
Contact information
Practice address
625 E ARROW HWY, SUITE 2, GLENDORA, CA 91740-6521
(626) 852-2822
(626) 852-2824
Mailing address
625 E ARROW HWY, SUITE 2, GLENDORA, CA 91740-6521
(626) 852-2822
(626) 852-2824
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC23398
CA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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