person
Mr. Lawrence Joseph Vanty JR., PA
Medical Physician Assistant in Lewiston, Idaho
NPI 1609144435

Lawrence Joseph Vanty JR. is a Medical Physician Assistant based in Lewiston, ID and is specialized in Medical. Lawrence Joseph Vanty JR. practices in Lewiston, ID and has the professional credentials of PA. The NPI Number for Lawrence Joseph Vanty JR. is 1609144435 and holds a License No. PA-953 (Idaho).

The current practice location address for Lawrence Joseph Vanty JR. is 2315 8Th St, Lewiston, ID and can be reached out via phone at 208-298-3094 and via fax at 833-941-3874.

Location: 2315 8Th St, Lewiston, ID, 83501-7301
person
Provider Profile Details
NPI Number
1609144435
Provider Name
Lawrence Joseph Vanty JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2315 8Th St, Lewiston, ID, 83501-7301
Phone Number
208-298-3094
Fax Number
833-941-3874
Provider Enumeration Date
12/07/2011
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609144435 05 ID
institution
Provider Business Practice Location Address Details
Address
2315 8Th St
City
State
Zip
83501-7301
Phone Number
208-298-3094
Fax Number
833-941-3874
person
Provider Business Mailing Address Details
Address
2315 8Th St
City
State
Zip
83501-7301
Phone Number
208-298-3094
Fax Number
833-941-3874
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-953 (Idaho)
Definition
Definition to come...
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