Individual provider · Type 1 NPI

Lawrence Joseph Vanty Jr., PA

Medical Physician Assistant · Lewiston, ID

NPI number 1609144435 Active

Practice location

2315 8th St
Lewiston, ID 83501-7301

Call (208) 298-3094 Map

Fax (833) 941-3874

Other practice locations

  • 320 Warner Dr, Lewiston, ID 83501-4441 · (208) 298-3094

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-953 (ID)

Medical Physician Assistant: Definition to come...

55 other providers at this address

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About NPI 1609144435

Lawrence Joseph Vanty Jr., PA's National Provider Identifier is 1609144435, issued on Dec 7, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lewiston, ID. The record was last updated on Dec 10, 2024.