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:
Health care specialties
| Specialty | Code | License # | 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 17 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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