Individual
MRS. JESSICA MARIE LAMANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5000
Mailing address
853 HARMONY LN, ASHLAND, OR 97520-3417
(203) 824-9782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002269
CT
363A00000X
Physician Assistant
Primary
157664
OR
Other
Enumeration date
07/29/2009
Last updated
02/27/2014
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