Broderick, Mackenzie Lauren Hannah

Broderick, Mackenzie Lauren Hannah is an individual health care provider with primary practice located at 1216 W Avenue J Ste 300 , Lancaster CA 93534-2944. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program. Other Service Providers / Community Health Worker is her primary health care specialty. Broderick, Mackenzie Lauren Hannah can be contacted via phone (661) 341-3495.

Contact Information

Primary practice address
1216 W Avenue J Ste 300 Lancaster CA 93534-2944
Phone: (661) 341-3495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1194497180
LBN Legal business name Broderick, Mackenzie Lauren Hannah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2021
Last updated Nov 3rd, 2023 - 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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