| Doctor Name: | TIMOTHY AARON LAMANNA |
| NPI Number: | 1548511082 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 5242 |
| Business Practice Address: | 1100 N Broad St Suite B Globe, AZ - 855012757 |
| Business Phone Number: | 9284258200 |
| Business Fax Number: | |
| Mailing Address: | 890 W Elliot Rd, 103 GILBERT |
| State: | AZ |
| Postal Code: | 852335102 |
| Phone Number: | 4805452787 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2012 |
| NPI Last Update Date: | 01/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |