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MALLORY MANCUSO
NPI 1114491685
Student in an Organized Health Care Education/Training Program in Lafayette, LA

Active since January 17, 2019
110 LANA DR, LAFAYETTE, LA 70503(504) 312-0218 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Mancuso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY MANCUSO (NPI 1114491685) is an individual student in an organized health care education/training program in Lafayette, Louisiana and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1114491685
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORY MANCUSO
Location Address110 LANA DRLafayette, LA 70503-4505
Mailing Address110 Lana DrLafayette, LA 70503-4505
Phone(504) 312-0218
Sole ProprietorNo
Enumeration DateJanuary 17, 2019
✔ NPI 1114491685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 LANA DR, Lafayette, LA 70503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Mancuso's NPI number?

The NPI number for Mallory Mancuso is 1114491685. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Mallory Mancuso located?

Mallory Mancuso practices at 110 Lana Dr, Lafayette, LA 70503. The listed phone number is (504) 312-0218.

What is Mallory Mancuso's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mallory Mancuso was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.