-- LANA K WAGNER -- MD
Individual Provider (NPI-1)
Active
Family Medicine, Sleep Medicine
Provider Information
- NPI Number
1003890112- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 4100 HIGH RESORT BLVD SE PMG RIO RANCHO HIGH RESORT 4100, RIO RANCHO, NM, 871245901
- Phone
- (505) 462-8520
- Fax
- (505) 462-8510
Specialties & Taxonomies
Family Medicine
License: NM #2000303
Family Medicine, Sleep Medicine
Primary License: NM #2000-303
All Addresses
LOCATION
4100 HIGH RESORT BLVD SE PMG RIO RANCHO HIGH RESORT 4100
RIO RANCHO, NM, 871245901