LAWRENCE JOSEPH VANTY

BOISE, ID
NPI1609144435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-953)
Enumeration Date2011-12-07
Last Update Date2016-05-12
Business Address
Mr. LAWRENCE JOSEPH VANTY PA
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
Mailing Address
Mr. LAWRENCE JOSEPH VANTY PA
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-344-3512
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