Lauren Wagner
Pediatrician
777 Hemlock St Msc 42
Macon
, Georgia 31201-2102
Lauren Wagner
Pediatrician
777 Hemlock St Msc 42
Macon
, Georgia 31201-2102
(478) 633-1000
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Lauren Wagner
- 777 Hemlock St # 117
- Macon, GA
- Zip : 31201-2102
- Phone : (478) 633-1000
Second Address
- Lauren Wagner
- 777 Hemlock St Msc 42
- Macon, GA
- Zip : 31201-2102
- Fax : (478) 633-7354
- Phone : (478) 633-7600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 77978 | GA |
National Provider Identifier
| NPI | 1003227968 |
|---|---|
| Provider Name | Lauren Wagner |
| First Address | Macon, GA 31201-2102 |
| Second Address | Macon, GA 31201-2102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2014 |
| Last Update Date | 19/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.