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Individual
MAURA KELLEY LAMANNA
Active
Individual
MAURA KELLEY LAMANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062209
PA
363AS0400X
Surgical Physician Assistant
MA062209
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103944708
—
PA
01
—
15402951
CAQH
—
Enumeration date
04/01/2021
Last updated
01/28/2026
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