Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lance W. Wagner, MD

Individual provider Anesthesiology Physician · NPI 1720072911

Dr. Lance W. Wagner, MD is an Anesthesiology Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 Clarkson Ave
Brooklyn, NY 11203-2056
Phone: (718) 270-3126
Fax: (718) 270-3797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 186118-1 (NY)

Record details

NPI number1720072911
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 2, 2005
Last updated in NPPESJanuary 4, 2017
Mailing address450 Clarkson Ave, Box 1262, Brooklyn, NY 11203-2056

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