Individual provider · Type 1 NPI

Leilani Vicente Manglicmot, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1679216089 Active

Practice location

705 Riley Hospital Dr., RI-5837
Indianapolis, IN 46202

Call (317) 944-4034 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679216089

Leilani Vicente Manglicmot, MD's National Provider Identifier is 1679216089, issued on Apr 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 14, 2022.