Individual
DR. LORRAINE LEIGH BALBAS MANLOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6633
Mailing address
130 POST AVE, APT #229, WESTBURY, NY 11590-3283
(951) 500-6232
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
256149
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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