Individual
LILIA MANGELSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4420 DIXIE HIGHWAY, SUITE 114, LOUISVILLE, KY 40216-2926
(502) 449-6464
(502) 449-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010271
KY
Other
Enumeration date
06/09/2016
Last updated
03/24/2017
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