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Individual

DR. LAKEIA MONIQUE MANOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3025 BULL ST, 216, SAVANNAH, GA 31405-2016
(912) 695-5001
(844) 695-5001
Mailing address
PO BOX 24102, SAVANNAH, GA 31403-4102
(912) 695-5001
(844) 695-5001

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008727
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I358491
MEDICARE PTAN
GA
Enumeration date
08/07/2011
Last updated
11/08/2016
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