Individual provider · Type 1 NPI
Miranda Dawn Malone, LE, LTA
Other Specialist/Technologist · O Fallon, MO
NPI number
1548020134
Active
Practice location
1055 E Terra Ln
O Fallon, MO 63366-2750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 2024010331 (MO) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
2 other providers at this address
About NPI 1548020134
Miranda Dawn Malone, LE, LTA's National Provider Identifier is 1548020134, issued on Mar 20, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in O Fallon, MO. The record was last updated on Mar 20, 2024.