Individual
DR. LIDIA S MANOUILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD. PHD
Contact information
Practice address
929 N ST FRANCIS, WICHITA, KS 67214-3821
(316) 268-5429
(316) 652-0340
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0435112
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25495
NE
Other
Enumeration date
04/12/2010
Last updated
08/05/2015
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