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Lenard D Wagner, MD
General Practice Physician in Lovington, New Mexico
NPI 1649216896

Lenard D Wagner is a General Practice Physician based in Hobbs, NM. Lenard D Wagner practices in Lovington, NM and has the professional credentials of MD. The NPI Number for Lenard D Wagner is 1649216896 and holds a License No. 86-141 (New Mexico).

The current practice location address for Lenard D Wagner is 1600 North Main, Lovington, NM and can be reached out via phone at 575-396-6611 and via fax at 575-396-0318.

Location: 1600 North Main, Lovington, NM, 88240-5110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649216896
Provider Name
Lenard D Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 North Main, Lovington, NM, 88240-5110
Phone Number
575-396-6611
Fax Number
575-396-0318
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36954 05 NM
institution
Provider Business Practice Location Address Details
Address
1600 North Main
City
Lovington
State
New Mexico
Zip
88260-2813
Phone Number
575-396-6611
Fax Number
575-396-0318
person
Provider Business Mailing Address Details
Address
1600 North Main
City
Lovington
State
New Mexico
Zip
88260-2813
Phone Number
575-396-6611
Fax Number
575-396-0318
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
CS00009180 (New Mexico)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
86-141 (New Mexico)
Definition
Definition to come...
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