MR. Lani Domingo Antonio II, PA
NPI #1467726380 in Modesto, California
Provider Information
- NPI Number
- 1467726380
- Entity Type
- Individual
- Name
- MR. Lani Domingo Antonio II, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Feb 24, 2012
- Last Updated
- Nov 25, 2013
Practice Location
- Address
- 200 E HACKETT RD
- City
- Modesto
- State
- California
- ZIP Code
- 95358-9415
- Phone
- (831) 801-7110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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