Search › Iowa › 164W00000X
Lisa Wagner
NPI 1558219824 · on the registry since 2026
Practice
- Address
- 2826 W Locust St Ste 2a
Davenport, IA 52804 - Phone
- (563) 332-8528
- Organisation at this address
- Omaha Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-20
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 Iowa