Individual
MR. LAWRENCE JOSEPH VANTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 298-3094
(833) 941-3874
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 298-3094
(833) 941-3874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-953
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609144435
—
ID
Enumeration date
12/07/2011
Last updated
12/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us