Lavanya Manimaran, MD
Hospitalist in Lagrange, GA. Individual provider (NPI-1).
NPI number1114366135
StatusActive
Last updated in NPPESOct 14, 2019
Details
- NPI
- 1114366135
- Entity type
- Individual (NPI-1)
- Name
- Lavanya Manimaran
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2013
- Last updated
- Oct 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 079210 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 208M00000X | Hospitalist | Q8300 | TX |
Practice location
1514 Vernon RdLagrange, GA 30240-4131
Phone 706-812-2369
Mailing address
1514 Vernon RdLagrange, GA 30240-4131
Phone 706-812-2369
Other practice locations
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All 8 Hospitalist Physician providers in Lagrange · All 1,064 providers in Lagrange
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