Individual
DR. LAUREN ELIZABETH VAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9587
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9587
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.42363
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.42363
AL
Other
Enumeration date
03/28/2018
Last updated
08/08/2023
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