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Individual

LANCE A MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6823 ISAAC'S ORCHARD RD, SPRINGDALE, AR 72762
(479) 750-2080
(479) 750-2082
Mailing address
6823 ISAAC'S ORCHARD RD, SPRINGDALE, AR 72762
(479) 750-2080
(479) 750-2082

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E4334
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157447001
AR
Enumeration date
08/18/2006
Last updated
10/30/2013
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