Lori Brooke Wagner (NPI# 1285902387, PAC ID# 5991962813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1285902387 |
PAC ID by PECOS | 5991962813 |
Professional Enrollment ID | I20120206000174 |
Full Name | Lori Brooke Wagner |
Address |
109 Danbury Rd Ridgefield CT 06877-4142 |
Gender | F |
Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
Graduation Year | 2004 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
109 Danbury Rd, Ridgefield, CT 06877-4142 |
Street Address |
109 DANBURY RD |
City | RIDGEFIELD |
State | CT |
Zip | 06877-4142 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen Corcoran | Nurse Practitioner | 109 Danbury Rd, Ridgefield, CT 06877-4142 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rocco F Marotta | Psychiatry | 9 Keeler Ct, Ridgefield, CT 06877-1000 | |
Judith K Davidson | Psychologist, Clinical | 640 Danbury Rd, Ridgefield, CT 06877-2740 | |
Gail P Fennell | Physical Therapy | Ct Scoliosis and Spine Rehab LLC | 871 Ethan Allen Hwy, Suite 104, Ridgefield, CT 06877-2811 |
Robin L Raposa | Physical Therapy | Ct Scoliosis and Spine Rehab LLC | 871 Ethan Allen Hwy, Suite 104, Ridgefield, CT 06877-2811 |
Jeanne A Halloran | Physical Therapy | Ct Scoliosis and Spine Rehab LLC | 871 Ethan Allen Hwy, Suite 104, Ridgefield, CT 06877-2811 |
Lisa Danielle Kroll | Chiropractic | 158 Danbury Rd, Suite 3, Ridgefield, CT 06877-3200 | |
Heather I Frimmer | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 11 Whitewood Hollow Ct, Ridgefield, CT 06877-3405 |
Allison Nicole Rubin | Diagnostic Radiology | Main Street Radiology At Bayside,llc | 11 Whitewood Hollow Ct, Ridgefield, CT 06877-3405 |
James K Ahern | Family Medicine | James K Ahern and Dr Carol A Galban Mds | 77 Danbury Rd, Ridgefield, CT 06877-4029 |
Carol-ann V Galban | Family Medicine | James K Ahern and Dr Carol A Galban Mds | 77 Danbury Rd, Ridgefield, CT 06877-4029 |
Find all physicians in zip 06877 |
City | RIDGEFIELD |
Zip Code | 06877 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | RIDGEFIELD + PSYCHOLOGIST, CLINICAL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.