Provider Demographics
NPI:1407918691
Name:MANSHIP, LILLIAN D (LAC)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:D
Last Name:MANSHIP
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 KANAI AVE
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-2025
Mailing Address - Country:US
Mailing Address - Phone:916-606-5361
Mailing Address - Fax:916-722-4194
Practice Address - Street 1:7425 KANAI AVE
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-2025
Practice Address - Country:US
Practice Address - Phone:916-606-5361
Practice Address - Fax:916-722-4194
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9026171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist