Individual
DR. LAURA JEAN MANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4512 KIRKWOOD HWY STE 202, WILMINGTON, DE 19808-5122
(302) 999-0137
(302) 999-1042
Mailing address
4512 KIRKWOOD HWY, #301, WILMINGTON, DE 19808-5123
(302) 999-0137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0009037
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200047994
—
DE
Enumeration date
03/22/2007
Last updated
03/12/2021
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