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Contact Information

LISA B VANWAGNER, MD
6201 HARRY HINES BLVD
DALLAS, TX75390-3111
 Phone: 214-633-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hepatology

207RI0008X 11 Physician/Internal Medicine
 

Transplant Hepatology

207RT0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LISA B VANWAGNER · (Female)

NPI # 1881865640
Status Active
Credentials MD
Entity Individual
Enumeration date 03/19/2008
Last updated 07/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036124551
  • TX License # T5230
Hospital affiliation(s)
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
  • LAKE FOREST HOSPITAL - (Acute Care)
    660 N WESTMORELAND ROAD
    LAKE FOREST, IL 60045
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
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.

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