Search › Louisiana › 101YP2500X
L. Wagner, MED
NPI 1316074115 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3001 5th St
# 300
Metairie, LA 70002 - Phone
- (504) 836-0000
- Fax
- (504) 832-4040
- Organisation at this address
- Pathways To Freedom
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana