Lori Manduke, RN, NP, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

359159 Issued in CA

Practice address

6346 Langhall CT
Agoura Hills, CA 91301-4114

Phone

(818) 822-1919

Fax

(818) 991-7500

NPI assigned

Feb 1, 2016

Last updated

Feb 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1831557164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 LANGHALL CT",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014114",
            "telephone_number": "818-822-1919",
            "fax_number": "818-991-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6346 LANGHALL CT",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014114",
            "telephone_number": "818-822-1919",
            "fax_number": "818-991-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDUKE",
        "first_name": "LORI",
        "credential": "RN, NP, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "359159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.