LOIS WAGSTROM M.D. P.C. NPI 1265694376

NPI Information

LOIS WAGSTROM M.D., P.C. is a plastic and reconstructive surgery surgery in Nashville, TN. The provider is a surgeon who specializes in plastic and reconstructive surgery. LOIS WAGSTROM M.D., P.C. NPI is 1265694376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 25TH AVE N
SUITE 301
NASHVILLE, TN
ZIP 37203-632
Phone: (615) 329-1822
Fax: (615) 327-3206

The provider's authorized official is Lois Wagstrom .
The authorized official title is Owner and has the following contact phone number (615) 329-1822.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 8/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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