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Individual

LOREEN MANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18711-3475
(570) 808-7850
(570) 808-7855
Mailing address
100 NORTH ACADEMY AVE., DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2010019086
MO
207L00000X
Anesthesiology Physician
Primary
MD458722
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014459300
FL
Enumeration date
06/22/2010
Last updated
10/21/2016
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