Active NPIIndividual provider

Mrs. Lauren Mandell, PHYSICIAN ASSISTANT

Physician Assistant in Greenwich, Connecticut

NPI Number1902120579
Practice location
55 Holly Hill Ln, Greenwich, CT 06830-6074
Fax
—
Last updated
April 4, 2025

Lauren Mandell is a Physician Assistant based in Greenwich, CT. Lauren Mandell practices in Greenwich, CT and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Lauren Mandell is 1902120579 and holds a License No. 013813 (NY). The current practice location address for Lauren Mandell is 55 Holly Hill Ln, Greenwich, CT 06830-6074 and can be reached out via phone at 203-785-2815.

Provider Profile Details

NPI Number
1902120579
Provider Name
Lauren Mandell
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
55 Holly Hill Ln, Greenwich, CT 06830-6074
Phone Number
203-785-2815
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2010
Last Update Date
April 4, 2025
Certification Date
April 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Holly Hill Ln
Greenwich, CT 06830-6074
Zip
06830-6074
Phone Number
203-785-2815
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
55 Holly Hill Ln
Greenwich, CT 06830-6074
City
Greenwich
State
CT
Zip
06830-6074
Phone Number
203-785-2815

License Information

License Number (1)
013813
License State (1)
NY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
6988
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lauren Mandell, PHYSICIAN ASSISTANT?

The NPI number of Mrs. Lauren Mandell, PHYSICIAN ASSISTANT is 1902120579. It was assigned on March 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lauren Mandell, PHYSICIAN ASSISTANT?

Mrs. Lauren Mandell, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 013813.

Where does Mrs. Lauren Mandell, PHYSICIAN ASSISTANT practice?

The practice location is 55 Holly Hill Ln, Greenwich, CT 06830-6074. The office can be reached at 203-785-2815 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902120579 directly on the NPPES registry website.

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