Individual
MANU LONIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1741 MESQUITE AVE # 100, LAKE HAVASU CITY, AZ 86403-5695
(928) 782-7972
(928) 329-4522
Mailing address
1741 MESQUITE AVE # 100, LAKE HAVASU CITY, AZ 86403-5695
(928) 782-7972
(928) 329-4522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036113596
IL
207Q00000X
Family Medicine Physician
Primary
43225
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579940
—
AZ
Enumeration date
02/09/2007
Last updated
05/01/2017
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