Individual
DR. JOHNATHON T LANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4492
(210) 358-4000
(210) 358-4775
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1112555
TX
367500000X
Certified Registered Nurse Anesthetist
54118
ID
Other
Enumeration date
07/20/2016
Last updated
05/20/2026
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