Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lawrence B. Manalo, MD

Individual provider Diagnostic Radiology Physician · NPI 1265798938

Lawrence B. Manalo, MD is a Diagnostic Radiology in Augusta, Georgia. Qualified in 2012, 14 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Louisiana.

Years since qualifying
14
Licensed in
GA, LA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-2209
Fax: (706) 721-7319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1542 Tulane Ave, New Orleans, LA 70112-2865 — (504) 568-4647

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 103919 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD.206240 (LA)

Record details

NPI number1265798938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2012
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address1542 Tulane Ave, Department Of Radiology, New Orleans, LA 70112-2865

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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