Provider Demographics
NPI:1942259312
Name:LAMANNA-DOOLELY PLASTIC SURGERY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:LAMANNA-DOOLELY PLASTIC SURGERY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:V
Authorized Official - Last Name:LAMANNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-796-1000
Mailing Address - Street 1:40 KENHORST BLVD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-1532
Mailing Address - Country:US
Mailing Address - Phone:610-796-1000
Mailing Address - Fax:610-796-8018
Practice Address - Street 1:40 KENHORST BLVD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-1532
Practice Address - Country:US
Practice Address - Phone:610-796-1000
Practice Address - Fax:610-796-8018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1942282751OtherNPI JOHN V. LAMANNA, M.D.
PA2448700OtherCAPITAL BLUE CROSS
PA1659501OtherCBC THOMAS W. DOOLEY, M.D
1760464754OtherNPI THOMAS W. DOOLEY, M.D
PA1433401OtherCBC JOHN V. LAMANNA, M.D.
PA0537798000OtherIBC PERSONAL CHOICE
1760464754OtherNPI THOMAS W. DOOLEY, M.D
1942282751OtherNPI JOHN V. LAMANNA, M.D.
PA0537798000OtherIBC PERSONAL CHOICE
CL6967Medicare ID - Type UnspecifiedRAILROAD MEDICARE