Provider Demographics
NPI:1902993322
Name:LAMANNA, JOSEPH L III (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:L
Last Name:LAMANNA
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2909 S HAMPTON RD
Mailing Address - Street 2:SUITE 101D
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224
Mailing Address - Country:US
Mailing Address - Phone:214-330-5281
Mailing Address - Fax:214-331-8194
Practice Address - Street 1:2909 S HAMPTON RD
Practice Address - Street 2:SUITE 101D
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224
Practice Address - Country:US
Practice Address - Phone:214-330-5281
Practice Address - Fax:214-331-8194
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF8765208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A67307Medicare UPIN
TX87T931Medicare ID - Type Unspecified