NPI 1003890112

Lana K Wagner, MD

Practitioner Sleep Medicine (Family Medicine) Physician Rio Rancho, NM

Practice location

Address: 4100 High Resort Blvd SE Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124-5901
Phone: (505) 462-8520
Fax: (505) 462-8510
Mailing address: PO Box 26666 Phs Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties (2)

Sleep Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS1201X Licence 2000-303 (NM)

Other Family Medicine providers in New Mexico →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2000303 (NM)

Registry record

NPI: 1003890112
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2005
Record last updated: 29 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.