Mandl, Lillian R

Mandl, Lillian R is an individual health care provider with primary practice located at Maine Comprehensive Pain Management, P.C. 400 Enterprise Drive, Suite 1, Scarborough ME 04074-7663. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mandl, Lillian R can be contacted via phone (207) 289-6726.

Contact Information

Primary practice address
Maine Comprehensive Pain Management, P.C. 400 Enterprise Drive, Suite 1 Scarborough ME 04074-7663
Phone: (207) 289-6726
Fax: (207) 289-1219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 03067523 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X MM3521742 Maine

Profile Details

NPI number 1962437152
LBN Legal business name Mandl, Lillian R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 13th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962437152 NPPES
Maine MEDICAID 301090099
Maine MEDICAID 30341057

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