Lisa Wagner

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000283 Issued in MI

Legal business name

LISA WAGNER

Practice address

455 E Grand River Ave
Suite 204
Brighton, MI 48116-1551

Phone

(810) 494-1700

Fax

(810) 494-0223

NPI assigned

Jan 31, 2011

Last updated

Jan 31, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Wagner, MA, CCC-A

Title

Audiologist

Phone

(517) 336-1940

Specialties & licenses 1

Addresses

Tax ID family

Fluke Hearing Instruments LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fluke Hearing Instruments LLC

  • Hearing Aid Equipment
  • Lansing, MI
  • NPI 1164698049
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Jeffrey Fluke

  • Hearing Instrument Specialist
  • Lansing, MI
  • NPI 1497972533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1811293475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 NORTHWIND DR",
            "address_2": "SUITE 226",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235080",
            "telephone_number": "517-336-1940",
            "fax_number": "517-336-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E GRAND RIVER AVE",
            "address_2": "SUITE 204",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161551",
            "telephone_number": "810-494-1700",
            "fax_number": "810-494-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WAGNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "517-336-1940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Lindberg
• Valerie Ann Lindell, PHARMD, BCACP
• Lori K. Lingo, M. ED., CCCA
• Maureen Linnell-Peart, LMSW
• Howard David Lipkin, D.O.
• Jacqueline Rene Lisiecki, MSW
• Peter Michael Lisiecki, PH.D
• Beth Litkewycz
• Livingston Center of Allergy, Sinus & Asthma, PC
• Livingston Dental Sleep Therapy PLLC

• Audiologist in Brighton, MI
• Providers in Brighton, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.