Individual
DR. LOREE EBBINGHAUS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10071 WADSWORTH PKWY, SUITE 200, WESTMINSTER, CO 80021-3804
(303) 427-2020
(303) 427-6197
Mailing address
10071 WADSWORTH PKWY, SUITE 200, WESTMINSTER, CO 80021-3804
(303) 427-2020
(303) 427-6197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1775
CO
Other
Enumeration date
04/10/2006
Last updated
12/02/2009
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