National Provider Identifier Database

LYNNE E WAGONER, MD – NPI #1831147099
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

LYNNE E WAGONER, MD
3000 MACK RD
SUITE 100
FAIRFIELD, OH45014-5335
Phone: 513-751-4222
Fax: 513-751-4353
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Advanced Heart Failure & Transplant Cardiology 207RA0001X

* Indicates primary specialty

NPI Profile & details for LYNNE E WAGONER

NPI Number 1831147099
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 01/25/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 35.067216
  • IN Medicaid: 200036340
  • KY Medicaid: 64936057
  • OH Medicaid: 0982816
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LYNNE E WAGONER, MD

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