Mattheis, Mykenzie Lauren
Mattheis, Mykenzie Lauren is an individual health care provider with primary practice located at 999 S Fairmont Ave Ste 200 , Lodi CA 95240-5141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mattheis, Mykenzie Lauren can be contacted via phone (209) 334-3333.Contact Information
Primary practice address
999 S Fairmont Ave Ste 200
Lodi CA 95240-5141
Phone: (209) 334-3333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20A21012 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 74979-21 | Wisconsin |
Profile Details
| NPI number | 1992266464 |
|---|---|
| LBN Legal business name | Mattheis, Mykenzie Lauren |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2019 |
| Last updated | Sep 5th, 2023 - about 3 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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