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

Mallory Mancuso

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114491685

Mallory Mancuso is a Student in an Organized Health Care Education/Training Program in Lafayette, Louisiana. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

110 Lana Dr
Lafayette, LA 70503-4505
Phone: (504) 312-0218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114491685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 17, 2019

Other providers in Lafayette