Individual
DR. TYSHUNDA LAKESHA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11211 W LINCOLN AVE, WEST ALLIS, WI 53227-1035
(414) 456-5000
(414) 327-7639
Mailing address
6546 N 66TH ST, MILWAUKEE, WI 53223-5708
(414) 760-3250
(414) 327-7639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45337
WI
Other
Enumeration date
03/03/2006
Last updated
07/11/2007
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