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DAVID MICHAEL MANNINO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5981
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23744
KY
207RP1001X
Pulmonary Disease Physician
23744
KY

Other

Enumeration date
07/26/2006
Last updated
03/16/2012
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