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Lisa Wagner, LPN
Licensed Practical Nurse in Greenville, South Carolina
NPI 1124360078

Lisa Wagner is a Licensed Practical Nurse based in Greenville, SC. Lisa Wagner practices in Greenville, SC and has the professional credentials of LPN. The NPI Number for Lisa Wagner is 1124360078 and holds a License No. PR28793 (South Carolina).

The current practice location address for Lisa Wagner is 100 Blassingame Rd, Greenville, SC and can be reached out via phone at 864-355-3100.

Location: 100 Blassingame Rd, Greenville, SC, 29605-3304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124360078
Provider Name
Lisa Wagner
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
100 Blassingame Rd, Greenville, SC, 29605-3304
Phone Number
864-355-3100
Fax Number
Provider Enumeration Date
03/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Blassingame Rd
City
Greenville
State
South Carolina
Zip
29605-3304
Phone Number
864-355-3100
Fax Number
person
Provider Business Mailing Address Details
Address
100 Blassingame Rd
City
Greenville
State
South Carolina
Zip
29605-3304
Phone Number
864-355-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PR28793 (South Carolina)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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