Individual
LAWRENCE M MANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 CHURCH ST, CARTHAGE, NY 13619-1212
(315) 493-0128
(315) 493-6200
Mailing address
7715 SAND POND RD, GLENFIELD, NY 13343-2213
(315) 376-3553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
147069
NY
Other
Enumeration date
06/30/2006
Last updated
02/07/2013
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