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Individual

DR. ANTHONY PETER LAMANNA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4646 E GREENWAY RD, SUITE 104, PHOENIX, AZ 85032-4805
(602) 494-0717
(602) 424-7778
Mailing address
4219 E PALO BREA LN, CAVE CREEK, AZ 85331-3864
(602) 494-0717
(602) 424-7778

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5744
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0930640
BLUE CROSS BLUE SHIELD ID
AZ
Enumeration date
09/05/2006
Last updated
08/02/2007
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