John R Lamanna Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME93548 Issued in FL

Practice address

4300 Kings Hwy
Ste 500
Port Charlotte, FL 33980-2917

Phone

(239) 344-2325

Fax

(941) 764-6176

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1366428633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1357",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339021357",
            "telephone_number": "239-278-3600",
            "fax_number": "239-226-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 KINGS HWY",
            "address_2": "STE 500",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802917",
            "telephone_number": "239-344-2325",
            "fax_number": "941-764-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANNA",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1466149",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274945900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4091418",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Lacey
• Philip Lagamma
• Bradley Lahr, PHARMD
• Laken Pharmacy LLC
• Mayur Jivrajbhai Lakhani, MD
• Amanda Marie Lamb, LMT
• Elise Lambird, DO
• Landry Therapy and Wellness
• Christopher Landry
• Christina Marie Laney, NP

• Pediatrics Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.