DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. LAVONNE MARCELL MORMINO CADC/CAS/RAS/CSC

MEDICARE:  MRS. LAVONNE MARCELL MORMINO  CADC/CAS/RAS/CSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A3589274OTHERCACALIFORNIA DRIVER LICENSE

General Provider Information

NPI Number : 1750779567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAVONNE MARCELL MORMINO CADC/CAS/RAS/CSC
Provider Business Mailing Address
First Line : 993 POSTAL WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6945
Country : US
Telephone Number : 760-630-9922
Fax Number : 760-630-9996
Provider Business Practice Location Address
First Line : 993 POSTAL WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6945
Country : US
Telephone Number : 760-630-9922
Fax Number : 760-630-9996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2014
Last Update Date : 05/03/2024

Similar Medicare Providers

1619409703 — KATHERINE FRIEDLANDER
Practice Location Address:
993 POSTAL WAY
VISTA, CA
92083-6945
Practice Phone: 760-631-1300
Practice Fax: 760-806-5314
1295947364 — ALPHA PROJECT FOR THE HOMELESS
Practice Location Address:
993 POSTAL WAY
VISTA, CA
92083-6945
Practice Phone: 760-630-9922
Practice Fax: 760-630-9996
1932612264 — ALPHA PROJECT FOR THE HOMELESS
Practice Location Address:
975 POSTAL WAY
VISTA, CA
92083-6945
Practice Phone: 760-630-9922
Practice Fax:
1194229278 — MR. MICHAEL TOWNSEND RADT-1
Practice Location Address:
993 POSTAL WAY
VISTA, CA
92083-6945
Practice Phone: 760-630-9922
Practice Fax:
1205322138 — JASON RODRIGUEZ
Practice Location Address:
993 POSTAL WAY
VISTA, CA
92083-6945
Practice Phone: 760-403-8112
Practice Fax:
1679069389 — MARK GASS
Practice Location Address:
993 POSTAL WAY
VISTA, CA
92083-6945
Practice Phone: 760-630-9922
Practice Fax: 760-630-9996

Directions to “ MRS. LAVONNE MARCELL MORMINO CADC/CAS/RAS/CSC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.