Individual
DR. IRENE G IBANEZ-MANLAPAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-5962
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-5962
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
07991R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069922
CIGNA
—
01
—
11-00103
UNITED HEALTHCARE
LA
05
—
1100170
—
LA
05
—
1441996
—
LA
01
—
220012016
PALMETTO GBA - RRMC
LA
01
—
721134010
TRICARE
LA
01
—
721134010B
HUMANA
LA
Enumeration date
11/08/2005
Last updated
04/04/2012
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