Individual
JOSE LUIS MONTANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 OREGON PIKE, LANCASTER, PA 17601-4890
(717) 735-1954
(717) 569-3045
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD040704E
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD040704E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001257170
—
PA
01
—
11583281
CAQH ID
—
01
—
MD040704E
STATE LICENSE - MD
PA
Enumeration date
04/05/2006
Last updated
05/02/2025
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