MRS. LANE GRAY WAGNON N.P. NPI 1871756395

NPI Information

MRS. Lane Gray Wagnon, N.P. is an adult health nurse practitioner in Conway, AR with 19 years of experience. MRS. Lane Gray Wagnon, N.P. NPI is 1871756395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 WESTERN AVE
SUITE 202
CONWAY, AR
ZIP 72034-967
Phone: (501) 513-5337
Fax: (501) 513-5338

The NPI 1871756395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 8/13/2020.

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:

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