Manco, Lawrence George

Manco, Lawrence George is an individual health care provider with primary practice located at 206 2Nd St E , Bradenton FL 34208-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Manco, Lawrence George can be contacted via phone (941) 955-4101.

Contact Information

Primary practice address
206 2Nd St E Bradenton FL 34208-1042
Fax: (941) 358-9817
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47695 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME83157 Florida

Profile Details

NPI number 1275522997
LBN Legal business name Manco, Lawrence George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Nov 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275522997 NPPES
Florida Other P00464359 RR MEDICARE
Florida MEDICAID 000164100 RR MEDICARE
Florida Other ME83157 RR MEDICARE

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