Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LYNETTE ANN WAGNER, OTR/L
ActiveMRS. LYNETTE ANN WAGNER, OTR/L is a Contractor healthcare provider located in CLARKSTON, Michigan. NPI 1952624884 is currently active in the NPPES registry. Verify at CMS.
Contractor · CLARKSTON, MI
Registration Details
- NPI Number
- 1952624884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2010 (16.476891615506 yrs)
- Last Updated
- Apr 23, 2012
- License
-
5201006848 (MI)
Practice Information
- Address
-
5774 GARNET CIRCLARKSTON, MI, 483483060Browse MI providers · Browse ZIP 48348
- Phone
- 5862426541
- Primary Specialty
-
Contractor
171W00000X
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.