Lori Brooke Wagner


Address: 109 Danbury Rd, Ridgefield, CT 06877-4142

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.

Physician Overview

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

Other Locations

Address Phone Organization
109 Danbury Rd, Ridgefield, CT 06877-4142

Organization Information

Office Location

Street Address 109 DANBURY RD
City RIDGEFIELD
State CT
Zip 06877-4142

Physicians in the same location

Name Specialty Organization Address
Karen Corcoran Nurse Practitioner 109 Danbury Rd, Ridgefield, CT 06877-4142

Physicians in the same zip code

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

Competitor

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City RIDGEFIELD
Zip Code 06877
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty RIDGEFIELD + PSYCHOLOGIST, CLINICAL

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Dataset Information

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.

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