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Individual
DR. LEE MICHAEL MANISCALCO
Active
Individual
DR. LEE MICHAEL MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6404
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6404
AL
208D00000X
General Practice Physician
MD.31846
AL
Other
Enumeration date
03/21/2011
Last updated
04/20/2026
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