Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Ellen Mauch, LE

Individual provider Specialist · NPI 1194247296

Amanda Ellen Mauch, LE is a Specialist in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

1806 W Kettleman Ln Ste A
Lodi, CA 95242-4316
Phone: (209) 327-2055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence L9390 (CA)

Record details

NPI number1194247296
Entity typeIndividual (Type 1)
GenderFemale
Credentials LE
Sole proprietorYes
NPI enumeratedJuly 10, 2017
Last updated in NPPESJuly 10, 2017
Mailing address1806 W Kettleman Ln Ste A, Lodi, CA 95242-4316

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