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Individual

DANIEL JON LAMANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN-APRN-PMHNP

Contact information

Practice address
630 W 34TH ST, AUSTIN, TX 78705-1232
(651) 460-0164
Mailing address
630 W 34TH ST, AUSTIN, TX 78705-1232

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP138630
TX

Other

Enumeration date
08/31/2018
Last updated
08/31/2018
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