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

Individual provider Pediatrics Physician · NPI 1689626400

Dr. Lenae E Vanwagnen, MD is a Pediatrics Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

1310 Greenwood Ave Lowr Level
Jackson, MI 49203-3077
Phone: (517) 962-0123
Fax: (517) 201-8067
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301076691 (MI)

Record details

NPI number1689626400
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address1310 Greenwood Ave Lowr Level, Jackson, MI 49203-3077

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