Individual
LISA R. MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2459 WYNNEFIELD DR, HAVERTOWN, PA 19083-1654
(610) 517-9552
Mailing address
2459 WYNNEFIELD DR, HAVERTOWN, PA 19083-1654
(610) 517-9552
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
04/28/2011
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