Lane G. Wagnon, N.P.
Nurse Practitioner · Conway, AR
UnclaimedN.P.NPI 1871756395
- Primary taxonomy
- 363LA2200X
- Enumerated
- 2008-07-03
- Practice location
- Conway, AR
- Last NPPES update
- 2020-08-13
State licenses
- AR · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.