Individual
DR. LAWRENCE JOSEPH MANHART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 EUREKA RD, MOB 2 - PEDIATRIC SPECIALTIES, ROSEVILLE, CA 95661-3027
(916) 474-2215
Mailing address
1600 EUREKA RD, MOB 2 - PEDIATRIC SPECIALTIES, ROSEVILLE, CA 95661-3027
(916) 474-2215
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A69256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A692560
—
CA
Enumeration date
11/07/2005
Last updated
12/15/2021
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