# JOSEPH LAMANTIA, DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578640496
- **Authorized official:** DR. JOSEPH LAMANTIA DO (CEO)
- **Authorized official phone:** (724) 463-7630

## Contact information

- **Practice address:** 1690 SALTSBURG AVE, INDIANA, PA 15701-3525
- **Practice address phone:** (724) 463-7630
- **Practice address fax:** (724) 463-7632
- **Mailing address:** 1690 SALTSBURG AVE, INDIANA, PA 15701-3525
- **Mailing address phone:** (724) 463-7630
- **Mailing address fax:** (724) 463-7632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS012719 | PA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001759577 | BCBS | PA |
| 05 | — | 0019602180003 | — | PA |