Dr Lyle Walter Wagner Jr, PHD is a
Psychologist based in Litchfield, Minnesota. Dr Lyle Walter Wagner Jr is licensed to practice in Minnesota (license number LP0681) and his current practice location is
236 N Sibley Ave, Litchfield, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 693-7708.
NPI number for Dr Lyle Walter Wagner Jr is 1972675486 and his current mailing address is 236 N Sibley Ave, Litchfield, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972675486.
Healthcare Provider's Profile
Full Name | Dr Lyle Walter Wagner Jr |
---|
Gender | Male |
---|
Speciality | Psychologist |
---|
Location | 236 N Sibley Ave, Litchfield, Minnesota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972675486
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/06/2018
Medical Identifiers
Medical identifiers for Dr Lyle Walter Wagner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972675486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP0681 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lyle Walter Wagner Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lyle Walter Wagner Jr, PHD 236 N Sibley Ave, Litchfield, MN 55355-2141 Ph: (320) 693-7708 | Dr Lyle Walter Wagner Jr, PHD 236 N Sibley Ave, Litchfield, MN 55355 Ph: (320) 693-7708 |
Reviews and Comments