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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MA. DENNICA LEE TRIVINO MANDIGMA MD
NPI 1316867922
Family Medicine in Lebanon, PA

Active since July 16, 2026
30 N 4TH ST, LEBANON, PA 17046(717) 274-0474(717) 274-0673 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ma. Dennica Lee Trivino Mandigma Md NPPES

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

MA. DENNICA LEE TRIVINO MANDIGMA MD (NPI 1316867922) is an individual family medicine provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MT237606) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1316867922
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMA. DENNICA LEE TRIVINO MANDIGMACredential: MD
Location Address30 N 4TH STLebanon, PA 17046-5606
Mailing Address30 N 4th StLebanon, PA 17046-5606 · (717) 274-0474 · Fax (717) 274-0673
Phone(717) 274-0474
Fax(717) 274-0673
Sole ProprietorNo
Enumeration DateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1316867922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MT237606
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30 N 4TH ST, Lebanon, PA 17046
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANSEY VARGHESE MD
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
ANTHONY LAL
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
ANILA GIDWANI DPT
Physical Therapist
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 270-7500
SABA SARFRAZ
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
ILHAM AHMED UMAR
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 274-0474
DR. TRAJAN BARRERA DO
Family Medicine
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 270-1949
MATIN MOHAMMAD MD
Physical Medicine & Rehabilitation
30 N 4TH ST
LEBANON, PA 17046
Lebanon County (717) 270-7500
SAMANTHA M FITZPATRICK SW
Social Worker
30 N 4TH ST, 2ND FLOOR
LEBANON, PA 17046
Lebanon County (717) 274-0474

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 Ma. Dennica Lee Mandigma's NPI number?

The NPI number for Ma. Dennica Lee Mandigma is 1316867922. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Ma. Dennica Lee Mandigma located?

Ma. Dennica Lee Mandigma practices at 30 N 4th St, Lebanon, PA 17046. The listed phone number is (717) 274-0474.

What is Ma. Dennica Lee Mandigma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ma. Dennica Lee Mandigma was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.