Individual
DR. LINCOLN L MANZI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, INC
Contact information
Practice address
18426 BROOKHURST ST, SUITE # 103, FOUNTAIN VALLEY, CA 92708-6776
(714) 546-2020
(714) 436-2929
Mailing address
18426 BROOKHURST ST, SUITE 103, FOUNTAIN VALLEY, CA 92708-6776
(714) 546-2020
(714) 436-2999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G27003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G270030
—
CA
Enumeration date
05/09/2006
Last updated
11/17/2011
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