Mrs. Lisa Marie Bankowski
Pediatrician Adolescent Medicine
1062 Barnes Road Suite 102
Wallingford
, Connecticut 06492
Mrs. Lisa Marie Bankowski
Pediatrician Adolescent Medicine
1062 Barnes Road Suite 102
Wallingford
, Connecticut 06492
(203) 294-6346
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mrs. Lisa Marie Bankowski
- 1062 Barnes Road Suite 102
- Wallingford, CT
- Zip : 06492
- Fax : (203) 294-6346
- Phone : (203) 294-6328
Second Address
- Mrs. Lisa Marie Bankowski
- 1062 Barnes Road Suite 102
- Wallingford, CT
- Zip : 06492
- Fax : (203) 294-6346
- Phone : (203) 294-6328
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | CTE49289 | CT |
| N | 2080A0000X | Adolescent Medicine | E49289 | CT |
National Provider Identifier
| NPI | 1073699310 |
|---|---|
| Provider Name | Mrs. Lisa Marie Bankowski |
| First Address | Wallingford, CT 06492 |
| Second Address | Wallingford, CT 06492 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.