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

Lucas Jacob Wagoner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679244263

Lucas Jacob Wagoner is a Student in an Organized Health Care Education/Training Program in Columbia, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Columbia, SC

No coordinates on file. Search this address in Google Maps

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679244263
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESMay 20, 2023
Certification dateMay 20, 2023

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