Manalo, Lawrence B.

Manalo, Lawrence B. is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Manalo, Lawrence B. can be contacted via phone (706) 721-2209.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-2209
Fax: (706) 721-7319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 103919 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD.206240 Louisiana

Profile Details

NPI number 1265798938
LBN Legal business name Manalo, Lawrence B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2012
Last updated Apr 7th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265798938 NPPES
Louisiana MEDICAID 2196448

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