| Lisa A. Wagner Chiropractic, Inc | |
|
625 E Arrow Hwy Suite 2 Glendora CA 91740-6521 | |
| (626) 852-2822 | |
| (626) 852-2824 |
| Full Name | Lisa A. Wagner Chiropractic, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 625 E Arrow Hwy, Glendora, California |
| Authorized Official Name and Position | Lisa Ann Wagner (SOLE OWNER) |
| Authorized Official Contact | 6268522822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A. Wagner Chiropractic, Inc 625 E Arrow Hwy Suite 2 Glendora CA 91740-6521 Ph: (626) 852-2822 | Lisa A. Wagner Chiropractic, Inc 625 E Arrow Hwy Suite 2 Glendora CA 91740-6521 Ph: (626) 852-2822 |
| NPI Number | 1750689196 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 03/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750689196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC23398 (California) | Primary |
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