Lois Wagstrom M.D., P.C. in Nashville - Plastic And Reconstructive Surgery

Lois Wagstrom M.D., P.C. - NPI 1265694376

Lois Wagstrom M.D., P.C. is a Plastic And Reconstructive Surgery in Nashville, Tennessee. Lois Wagstrom M.D., P.C. practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Lois Wagstrom M.D., P.C. is 1265694376. The last update date is 2008-08-11.

Lois Wagstrom M.D., P.C.'s current location address is 250 25th Ave N, Nashville, Tennessee. You can contact this provider via phone number 6153291822 and fax number 6153273206. The mailing address for Lois Wagstrom M.D., P.C. is 250 25th Ave N, Nashville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lois Wagstrom M.D., P.C.
Address 250 25th Ave N, Nashville, Tennessee
Phone Number 6153291822
Fax Number 6153273206
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wagstrom Lois
Credentials M.D.
Telephone Number 6153291822

NPI Number Detail

NPI Number 1265694376
Provider Enumeration Date 2008-06-30
Last Updated Date 2008-08-11

Provider Mailing Address Detail

Address 250 25th Ave N
City Nashville
State Tennessee (TN)
Post Code 372031632
Phone Number 6153291822
Fax Number 6153273206

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No MDO21252
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

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FAQs about Lois Wagstrom M.D., P.C.

What is the unique 10-digit identification code issued to Lois Wagstrom M.D., P.C. by the Centers for Medicare & Medicaid Services?

The Lois Wagstrom M.D., P.C. has been assigned the NPI (National Provider Identifier) 1265694376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Lois Wagstrom M.D., P.C.'s facilities are situated?

The facilities of Lois Wagstrom M.D., P.C. are physically located at the following address: 250 25Th Ave N, Nashville, TN, 372031632.

What is Lois Wagstrom M.D., P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lois Wagstrom M.D., P.C.'s specialized field of practice is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0122X.

On what date did the Centers for Medicare & Medicaid Services assign the 1265694376 to Lois Wagstrom M.D., P.C.?

The Centers for Medicare & Medicaid Services assigned the 1265694376 to Lois Wagstrom M.D., P.C. on 2008-06-30.

When was the information related to Lois Wagstrom M.D., P.C. most recently updated or refreshed?

The details pertaining to the Lois Wagstrom M.D., P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-11.

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