LESA WAGNER MTD NPI 1447827407

NPI Information

NPI: 1447827407
Provider Name: LESA WAGNER, MTD
Classification: Specialist/Technologist - 225500000X
Entity Type: Individual
Address:
36 SW NYE ST
NEWPORT, OR
ZIP 97365
Phone: (541) 265-0445
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Lesa Wagner, MTD is a specialist technologist in Newport, OR. The provider is general classification identifying respiratory, developmental, rehabilitative or restorative services individuals who are trained on a specific piece of equipment or technical procedure. Lesa Wagner, MTD NPI is 1447827407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

36 SW NYE ST
NEWPORT, OR
ZIP 97365-821
Phone: (541) 265-0445
Fax: (844) 760-0526

The enumeration date for this NPI number is 6/8/2021 and was last updated on 6/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225500000X	Specialist/Technologist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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