Individual
LILLIAN R MANDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
MAINE COMPREHENSIVE PAIN MANAGEMENT, P.C., 400 ENTERPRISE DRIVE, SUITE 1, SCARBOROUGH, ME 04074-7663
(207) 289-6726
(207) 289-1219
Mailing address
MAINE COMPREHENSIVE PAIN MANAGEMENT, P.C., 400 ENTERPRISE DRIVE, SUITE 1, SCARBOROUGH, ME 04074-7663
(207) 289-6726
(207) 289-1219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
03067523
NH
363L00000X
Nurse Practitioner
Primary
MM3521742
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301090099
—
ME
05
—
30341057
—
NH
Enumeration date
07/12/2006
Last updated
06/13/2024
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