Lillian R Mandl, APRN
Nurse Practitioner in Scarborough, ME. Individual provider (NPI-1).
NPI number1962437152
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1962437152
- Entity type
- Individual (NPI-1)
- Name
- Lillian R Mandl
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Certification date
- Dec 11, 2020
- Last updated
- Jun 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | MM3521742 | ME | Yes |
| 363L00000X | Nurse Practitioner | 03067523 | NH |
Practice location
Maine Comprehensive Pain Management, P.C.400 Enterprise Drive, Suite 1
Scarborough, ME 04074-7663
Phone 207-289-6726 · Fax 207-289-1219
Mailing address
Maine Comprehensive Pain Management, P.C.400 Enterprise Drive, Suite 1
Scarborough, ME 04074-7663
Phone 207-289-6726 · Fax 207-289-1219
Other practice locations
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