National Provider Identifier
Lea Rose Manilla, L.AC., DIPL.O.M.
Lea Rose Manilla, L.AC., DIPL.O.M. is listed in the NPPES registry with a primary specialty of Acupuncturist in Fairport, NY and a listed phone number of (585) 598-3866.
Profile Overview
- NPI
- 1679172944
- Provider Type
- Individual
- Primary Specialty
- Acupuncturist
- Enumeration Date
- October 19, 2020
- Last Updated
- May 01, 2023
Practice Location
- 6800 Pittsford Palmyra RD Ste 350
- Fairport, NY 14450-3503
Phone: (585) 598-3866
Specialties
- Acupuncturist (171100000X)
- Acupuncturist (171100000X)
Full Record
- NPI
- 1679172944
- Entity Type
- Individual
- Last Name
- Manilla
- First Name
- Lea
- Middle Name
- Rose
- Credential
- L.AC., DIPL.O.M.
- Mailing Street Address
- 6800 Pittsford Palmyra RD Ste 350
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3503
- Mailing Country
- US
- Mailing Phone
- (585) 598-3866
- Practice Street Address
- 6800 Pittsford Palmyra RD Ste 350
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3503
- Practice Country
- US
- Practice Phone
- (585) 598-3866
- Enumeration Date
- October 19, 2020
- Last Updated
- May 01, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acupuncturist (171100000X), Acupuncturist (171100000X)