Lauren Nicole Mandilakis, LPC
Individual provider Active NPI Community Health Worker · Olmsted Falls, OH
NPI 1497314827 · NPPES record last updated Jun 10, 2019
Key facts
- NPI
- 1497314827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 1901710 (OH)
- Practice address
- 7611 Inland Dr
Olmsted Falls, OH 44138-1443 - Phone
- (440) 539-1396
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1901710 | OH | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 1901710 | OH | Yes |
Addresses
Primary practice location
7611 Inland Dr
Olmsted Falls, OH 44138-1443
Mailing address
3518 W 25TH St
Cleveland, OH 44109-1951
Phone (216) 741-2244
Other providers in Olmsted Falls, OH
- Melissa Ann Kronholz
- Thomas J Kronholz
- Leonard a Davidson DDS Inc
- Heathre Lynn Lopez
- Ann Lyons
- Karen Lynne Massaad
- Gilbert McElroy
- Medaccess Transportation
- Patricia Ann Melnyk
- Stacey Mowery
All providers in Olmsted Falls, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.