Lisa C Wagoner, is a
Massage Therapist based in Franklin, New Jersey. Lisa C Wagoner is licensed to practice in New Jersey (license number 18KT00679200) and her current practice location is
17 Evans St, Franklin, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 534-5855.
NPI number for Lisa C Wagoner is 1376342204 and her current mailing address is 17 Evans St, Franklin, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376342204.
Healthcare Provider's Profile
| Full Name | Lisa C Wagoner |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 17 Evans St, Franklin, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376342204
- Provider Enumeration Date: 03/12/2025
- Last Update Date: 03/12/2025
Medical Identifiers
Medical identifiers for Lisa C Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376342204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 18KT00679200 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa C Wagoner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa C Wagoner, 17 Evans St, Franklin, NJ 07416-1419 Ph: (973) 534-5855 | Lisa C Wagoner, 17 Evans St, Franklin, NJ 07416-1419 Ph: (973) 534-5855 |
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