Individual
LAKEISHA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2070 VINE STREET, APT 3, ALLENTOWN, PA 18103
(917) 943-9337
Mailing address
2070 VINE ST, APT 3, ALLENTOWN, PA 18103-5725
(917) 943-9337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NY
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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