Mandernack, Lance

Mandernack, Lance is an sole proprietor health care provider with primary practice located at 3371 Glendale Blvd #186, Los Angeles CA 90039-1825. He recently has only one registered license in Hospitals / Military General Acute Care Hospital, which is considered as his primary health care specialty. Mandernack, Lance can be contacted via phone (323) 666-5364.

Contact Information

Primary practice address
3371 Glendale Blvd #186 Los Angeles CA 90039-1825
Phone: (323) 666-5364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Military General Acute Care Hospital 2865M2000X

Profile Details

NPI number 1760651772
LBN Legal business name Mandernack, Lance
Credentials BS, RTT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2008
Last updated Feb 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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