Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2008017170 | MO |
N | 208000000X | Pediatrician | 2010-01989 | NC |
N | 2080P0205X | Pediatric Endocrinologist | 2008017170 | MO |
Y | 2080P0205X | Pediatric Endocrinologist | 2010-01989 | NC |
NPI | 1164697520 |
---|---|
Provider Name | Dr. Lori Finch Wagner |
First Address | Asheville, NC 28806-9100 |
Second Address | Asheville, NC 28803-1700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 31/01/2022 |