Individual
JOHN LAURENCE MANWARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7734 RETREAT LN, WARRENTON, VA 20186-7546
(540) 347-4745
Mailing address
7734 RETREAT LN, WARRENTON, VA 20186-7546
(540) 347-4745
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101019302
VA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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