Individual
DR. LIA GRACEY MANIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
200 MEDICAL PKWY STE 270, LAKEWAY, TX 78738-1796
(512) 654-0270
(512) 654-0271
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R2860
TX
Other
Enumeration date
03/27/2013
Last updated
12/10/2021
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