Individual
LILIANA MANRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CHAIN BRIDGE RD, MC LEAN, VA 22101-3935
(703) 790-5454
(202) 966-0940
Mailing address
5326 43RD ST NW, WASHINGTON, DC 20015-2008
(202) 841-2960
(202) 966-0940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101258925
VA
Other
Enumeration date
10/20/2014
Last updated
09/10/2015
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