Individual provider · Type 1 NPI

Lauren Marie Wagner, ATC

Student in an Organized Health Care Education/Training Program · Camarillo, CA

NPI number 1770992133 Active

Practice location

4947 Paseo Montelena
Camarillo, CA 93012-5264

Call (805) 479-8040 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770992133

Lauren Marie Wagner, ATC's National Provider Identifier is 1770992133, issued on Aug 10, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Camarillo, CA. The record was last updated on Aug 10, 2014.