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

Lisa Jane Wagoner, MHPP

Individual provider Case Manager/Care Coordinator · NPI 1386903771

Lisa Jane Wagoner, MHPP is a Case Manager/Care Coordinator in Lake Village, Arkansas. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

316 Main St
Lake Village, AR 71653-1942
Phone: (870) 265-2186
Fax: (870) 265-2305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1386903771
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHPP
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESMay 7, 2012
Mailing address316 Main St, Lake Village, AR 71653-1942

Other providers in Lake Village