MRS. LANE WAGNON, N.P.

Nurse Practitioner - Adult Health

Active Individual
NPI: 1871756395

Practice Address

525 WESTERN AVE
SUITE 202
Conway, AR 72034

Phone: (501) 513-5337

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X Yes A02902 (AR)

Frequently Asked Questions

NPI 1871756395 is the National Provider Identifier for MRS. LANE WAGNON, N.P., a Nurse Practitioner - Adult Health provider located in Conway, AR. This NPI was enumerated on July 3, 2008.
MRS. LANE WAGNON, N.P. practices at 525 WESTERN AVE, SUITE 202, Conway, AR 72034.

Quick Facts

NPI
1871756395
Type
Individual
Enumerated
Jul 3, 2008
Last Updated
Aug 13, 2020

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