NPI Profile for LONNIE R MANUEL in ADA, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1003108044 |
|
| Status | Active | |
| Credentials | L.P.C. | |
| Entity | Individual | |
| Enumeration date | 05/10/2011 | |
| Last updated | 11/16/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LONNIE R MANUEL
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