Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101045269 | VA |
N | 207X00000X | Orthopaedic Surgeon | 13221 | DC |
Y | 207X00000X | Orthopaedic Surgeon | D36506 | MD |
NPI | 1013094317 |
---|---|
Provider Name | Dr. Lawrence Alan Manning |
First Address | Washington, DC 20015-2237 |
Second Address | Silver Spring, MD 20910-4933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 03/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024492200 | (05) | DC |
B93509 | (02) |