Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. EDYE LYNN WAGNER, RD, LDN
ActiveRegistered Dietitian · LAKE FOREST, IL
Registration Details
- NPI Number
- 1346416740
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2008 (17.962193920264 yrs)
- Last Updated
- May 6, 2008
- License
-
164000949 (IL)
Practice Information
- Address
-
660 N WESTMORELAND RDLAKE FOREST, IL, 600451659Browse IL providers · Browse ZIP 60045
- Phone
- 8472345600
- Fax
- 8475357851
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in LAKE FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MEREDITH A JUSTICE | RD. LDN | 1922125194 |
| MRS. DARLENE RAWLS | R.D. | 1467619791 |
| MS. JESSICA T LARSON | RD, LDN | 1033356852 |
| KATHLEEN MARIE ABERNATHY | R.D., L.D.N. | 1295020063 |
| CHRISTINA BARON | R.D. | 1770879397 |
| RYAN T SANDERS | RD, LDN. | 1548512221 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.