Wagner, Lenard D

Wagner, Lenard D is an individual health care provider with primary practice located at 1600 North Main , Lovington NM 88260-2813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Wagner, Lenard D can be contacted via phone (575) 396-6611.

Contact Information

Primary practice address
1600 North Main Lovington NM 88260-2813
Phone: (575) 396-6611
Fax: (575) 396-0318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 86-141 New Mexico
Allopathic & Osteopathic Physicians / General Practice 208D00000X CS00009180 New Mexico

Profile Details

NPI number 1649216896
LBN Legal business name Wagner, Lenard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649216896 NPPES
New Mexico MEDICAID 36954

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