Individual
DR. LORENZO MANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1959 NE PACIFIC STREET, BOX 357115, SEATTLE, WA 98195-7115
(646) 226-5924
Mailing address
22 LLANFAIR RD UNIT 6, ARDMORE, PA 19003-2320
(107) 856-3276
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09938700
NJ
Other
Enumeration date
10/08/2009
Last updated
07/31/2020
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