Individual
MS. LUCINDA GRACE MANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M
Contact information
Practice address
175 MARTIN AVE, SUITE 125, EPHRATA, PA 17522-1761
(717) 721-5700
(717) 721-5712
Mailing address
175 MARTIN AVE, SUITE 125, EPHRATA, PA 17522-1761
(717) 721-5700
(717) 721-5712
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW010274
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240573UFW
MEDICARE PTAN
PA
Enumeration date
04/30/2012
Last updated
07/30/2019
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