Individual provider · Type 1 NPI

Ma. Dennica Lee Trivino Mandigma, MD

Family Medicine Physician · Lebanon, PA

NPI number 1316867922 Active

Practice location

30 N 4th St
Lebanon, PA 17046-5606

Call (717) 274-0474 Map

Fax (717) 274-0673

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMT237606 (PA)

Family Medicine Physician: 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.

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About NPI 1316867922

Ma. Dennica Lee Trivino Mandigma, MD's National Provider Identifier is 1316867922, issued on Jul 16, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lebanon, PA. The record was last updated on Jul 16, 2026.