Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LENARD D WAGNER, M.D.
ActiveLENARD D WAGNER, M.D. is a Geriatric Medicine healthcare provider located in LOVINGTON, New Mexico. NPI 1649216896 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · LOVINGTON, NM
Registration Details
- NPI Number
- 1649216896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.172041395762 yrs)
- Last Updated
- Jan 24, 2014
- Licenses
-
86-141 (NM)CS00009180 (NM)
Practice Information
- Address
-
1600 NORTH MAINLOVINGTON, NM, 882602813Browse NM providers · Browse ZIP 88260
- Phone
- 5753966611
- Fax
- 5753960318
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- General Practice
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.