LAWRENCE JOSEPH VANTY

LEWISTON, ID
NPI1609144435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-953)
Enumeration Date2011-12-07
Last Update Date2024-12-10
Business Address
Mr. LAWRENCE JOSEPH VANTY PA
2315 8TH ST
LEWISTON, ID 83501-7301
Phone number: 208-298-3094
Mailing Address
Mr. LAWRENCE JOSEPH VANTY PA
2315 8TH ST
LEWISTON, ID 83501-7301
Phone number: 208-298-3094
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