Individual provider · Type 1 NPI

Laura Ella Wagner, MD

Specialist · Chesterfield, MO

NPI number 1669445060 Active

Practice location

14377 Woodlake Dr, Suite 111
Chesterfield, MO 63017-5735

Call (314) 434-1111 Map

Fax (314) 434-1112

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XR8N01 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669445060

Laura Ella Wagner, MD's National Provider Identifier is 1669445060, issued on Feb 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chesterfield, MO. The record was last updated on May 24, 2012.