MR. LAWRENCE JOSEPH VANTY JR. PA
NPI 1609144435
Physician Assistant - Medical in Lewiston, ID

Q: What is Lawrence Vanty's NPI number?

The NPI number for Lawrence Vanty is 1609144435. It was assigned to this individual provider in the NPPES registry on December 7, 2011.

Q: What is Lawrence Vanty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Vanty was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 07, 2011PECOS Enrolled

2315 8TH ST, LEWISTON, ID 83501(208) 298-3094(833) 941-3874 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, May 12, 2016 (2 updates tracked since 2016).

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About Mr. Lawrence Joseph Vanty Jr. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LAWRENCE JOSEPH VANTY JR. PA (NPI 1609144435) is an individual medical provider in Lewiston, Idaho, licensed in Idaho (PA-953) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1609144435

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. LAWRENCE JOSEPH VANTY JR.Credential: PA

Location Address2315 8TH STLewiston, ID 83501-7301

Mailing Address2315 8th StLewiston, ID 83501-7301 · (208) 298-3094 · Fax (833) 941-3874

Phone(208) 298-3094

Fax(833) 941-3874

Sole ProprietorNo

Enumeration DateDecember 7, 2011

Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1609144435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-953

2315 8TH ST, Lewiston, ID 83501

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Secondary Practice Location 1

Location 1320 Warner DrLewiston, ID 83501-4441 · Phone (208) 298-3094 · Fax (833) 941-3874

Other Identifiers 1

Medicaid1609144435ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lawrence Joseph Vanty Jr. Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALE CARASALI MD

Pediatrics