National Provider Identifier Database

LANCE MANDERNACK, BS, RTT – NPI #1760651772
Military General Acute Care Hospital

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.


Contact Information

LANCE MANDERNACK, BS, RTT
3371 GLENDALE BLVD
#186
LOS ANGELES, CA90039-1825
Phone: 323-666-5364
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X

* Indicates primary specialty

NPI Profile & details for LANCE MANDERNACK

NPI Number 1760651772
Credentials BS, RTT
Entity Individual
Enumeration date 02/22/2008
Last updated 02/22/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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