Dr. Lauren Elizabeth Van Wagner, MD
Pediatrics, Pediatric Emergency Medicine in Birmingham, AL. Individual provider (NPI-1).
NPI number1861997173
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1861997173
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lauren Elizabeth Van Wagner
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2018
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | MD.42363 | AL | Yes |
| 208000000X | Pediatrics | MD.42363 | AL |
Practice location
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-638-9587
Mailing address
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-638-9587
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