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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