NPI
Megan Lauren Mahoney
NPI 1366274383
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA
- Type
- Individual
- Enumeration date
- 2024-08-19
- Last updated
- 2025-04-28
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Specialties
Licenses
- License MN
- 15221
Location
- Practice location
- 2480 White Bear Ave N Ste 104
- City
- Maplewood MN
- Postal code
- 55109-4568
- Phone
- (612) 444-3247
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Maplewood, MN. 1,396 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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