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NPI Code Detail

MEDICARE: SEDONA LAUREN MANN

MEDICARE: SEDONA LAUREN MANN
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
1390200000XStudent in an Organized Health Care Education/Training Program
2183500000XPharmacistS023531AZ

General Provider Information

NPI Number : 1790275428
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEDONA LAUREN MANN
Provider Business Mailing Address
First Line : 1515 E OSBORN RD STE P1
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5309
Country : US
Telephone Number : 623-432-1975
Fax Number :
Provider Business Practice Location Address
First Line : 1515 E OSBORN RD STE P1
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5309
Country : US
Telephone Number : 623-432-1975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2018
Last Update Date : 08/22/2023

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Directions to “ SEDONA LAUREN MANN ” Practice Location

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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.

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