Mancini, Lee A

Mancini, Lee A is an individual health care provider with primary practice located at 281 Lincoln St , Worcester MA 01605-2138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mancini, Lee A can be contacted via phone (508) 334-5812.

Contact Information

Primary practice address
281 Lincoln St Worcester MA 01605-2138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 216504 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 216504 Massachusetts

Profile Details

NPI number 1033165949
LBN Legal business name Mancini, Lee A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 27th, 2020 - about 4 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 1033165949 NPPES
Massachusetts MEDICAID 2075393

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