Mani Lama MD

NPI 1649425455 - Internal Medicine - 207R00000X

NPI Details
NPI 1649425455
Gender Female
Enumeration Date 11/20/2008
Last Updated 04/08/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
2320 N LAKE DR
ROOM 3603
MILWAUKEE WI, 53211-4507, US
Phone (414) 270-4932
Fax (414) 291-5195
Business Location
4425 N PORT WASHINGTON RD
CSMCP CLINIC CREDENTIALING
GLENDALE WI, 53212-1082, US
Phone (414) 326-2378
Fax (414) 326-2155
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 60253
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According to our database, Mani Lama MD NPI is 1649425455, taxonomy code is 207R00000X and license number is 60253, license state is located at Wisconsin. Mani Lama MD physically located at 2320 N Lake Dr, Milwaukee WI, 53211-4507. NPI Number Mani Lama MD has the Individual type.

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1649425455 NPI number is provided on an as is basis without warranty of any kind. 1649425455 is maintained by the National Plan & Provider Enumeration System. The contents of Mani Lama MD are for informational purposes only.