Individual provider · Type 1 NPI

Lisa Ann Wagner, DC

Chiropractor · Glendora, CA

NPI number 1942398706 Active

Practice location

625 E Arrow Hwy, Suite 2
Glendora, CA 91740-6521

Fax (626) 852-2824

Mailing address

625 E. Arrow Highway, Suite 2
Glendora, CA 91740-6090

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC23398 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1942398706

Lisa Ann Wagner, DC's National Provider Identifier is 1942398706, issued on Oct 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Glendora, CA. The record was last updated on Jul 8, 2007.