Most Relevant Information
Provider Data
| NPI Number: | 1003227968 |
| Provider Name: | LAUREN WAGNER D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 77978 |
Most Important Dates
| Enumeration Date: | 05/14/2014 |
| Last Updated: | 08/19/2020 |
Provider Practice Location
777 HEMLOCK ST
MSC 42
MACON
GA
312012102
Practice Location Phone/Fax
| Phone: | 4786337600 |
| Fax: | 4786337354 |
Provider Mailing Location
777 HEMLOCK ST # 117
MACON
GA
312012102
Provider Mailing Phone/Fax
| Phone: | 4786331000 |
| Fax: |
Suggested EMR
Pediatrics EMR