Organization
DR JACK E LAMANNA DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK EDWARD LAMANNA DO (PHYSICIAN)
(214) 943-1131
Entity
Organization
Contact information
Practice address
2409 ALCO AVE, JEFFERSON CLINIC, DALLAS, TX 75211
(214) 943-1131
(214) 467-9193
Mailing address
2409 ALCO AVE, JEFFERSON CLINIC, DALLAS, TX 75211
(214) 943-1131
(214) 467-9193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4283
TX
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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