Provider Demographics
NPI:1841022258
Name:MANIRUMVA, LEWI
Entity type:Individual
Prefix:
First Name:LEWI
Middle Name:
Last Name:MANIRUMVA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 E GRAVES RD APT 23
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-3808
Mailing Address - Country:US
Mailing Address - Phone:319-551-8151
Mailing Address - Fax:
Practice Address - Street 1:33 E GRAVES RD APT 23
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-3808
Practice Address - Country:US
Practice Address - Phone:319-551-8151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter