MS. EDYE WAGNER, RD, LDN

Dietitian, Registered

Active Individual
NPI: 1346416740

Practice Address

660 N WESTMORELAND RD
Lake Forest, IL 60045

Phone: (847) 234-5600

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 164000949 (IL)

Frequently Asked Questions

NPI 1346416740 is the National Provider Identifier for MS. EDYE WAGNER, RD, LDN, a Dietitian, Registered provider located in Lake Forest, IL. This NPI was enumerated on May 6, 2008.
MS. EDYE WAGNER, RD, LDN practices at 660 N WESTMORELAND RD, Lake Forest, IL 60045.

Quick Facts

NPI
1346416740
Type
Individual
Enumerated
May 6, 2008
Last Updated
May 6, 2008

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