Individual
DR. LISA NYANDA-MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26809 TANIC DR STE 101, WESLEY CHAPEL, FL 33544-4605
(813) 435-5199
(813) 796-5389
Mailing address
26809 TANIC DR STE 101, WESLEY CHAPEL, FL 33544-4605
(813) 435-5199
(813) 796-5389
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME111230
FL
Other
Enumeration date
11/07/2006
Last updated
03/30/2022
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