Individual
DR. LOIS WAGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 23RD AVE N, STE. 100, NASHVILLE, TN 37203-1525
(615) 329-1822
Mailing address
310 23RD AVE N, STE. 100, NASHVILLE, TN 37203-1525
(615) 329-1822
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD021252
TN
Other
Enumeration date
05/25/2006
Last updated
06/13/2012
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