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

Dr. Lois Wagstrom, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1902852544

Dr. Lois Wagstrom, MD is a Plastic and Reconstructive Surgery in Nashville, Tennessee. Qualified in 1981, 45 years ago. Licensed in Tennessee.

Years since qualifying
45
Licensed in
TN
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

310 23rd Ave N Ste 100
Nashville, TN 37203-1525
Phone: (615) 329-1822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD021252 (TN)

Record details

NPI number1902852544
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJune 13, 2012
Mailing address310 23rd Ave N, Ste. 100, Nashville, TN 37203-1525

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated

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