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Individual

LAUREN MARIE MANDELKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
11 INWOOD LN E, CORTLANDT MANOR, NY 10567-6513
(914) 806-4083

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0019526
CO
225100000X
Physical Therapist
016895
GA
225100000X
Physical Therapist
Primary
50737
NY

Other

Enumeration date
12/05/2023
Last updated
12/10/2023
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