Individual
LORI MANDUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP, IBCLC
Contact information
Practice address
6346 LANGHALL CT, AGOURA HILLS, CA 91301-4114
(818) 822-1919
(818) 991-7500
Mailing address
6346 LANGHALL CT, AGOURA HILLS, CA 91301-4114
(818) 822-1919
(818) 991-7500
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
359159
CA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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