Dr. Loree Ebbinghaus Wagner, O.D.
Optometrist in Westminster, CO. Individual provider (NPI-1).
NPI number1790748903
StatusActive
Last updated in NPPESDec 2, 2009
Details
- NPI
- 1790748903
- Entity type
- Individual (NPI-1)
- Name
- Dr. Loree Ebbinghaus Wagner
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Dec 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1775 | CO | Yes |
Practice location
10071 Wadsworth PkwySuite 200
Westminster, CO 80021-3804
Phone 303-427-2020 · Fax 303-427-6197
Mailing address
10071 Wadsworth PkwySuite 200
Westminster, CO 80021-3804
Phone 303-427-2020 · Fax 303-427-6197
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