Most Relevant Information
Provider Data
| NPI Number: | 1003023441 |
| Provider Name: | LISA VERONICA BANKES LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 26NP05299100 |
Most Important Dates
| Enumeration Date: | 05/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2146 ALDRIN RD APT 7A
OCEAN
NJ
077122417
Practice Location Phone/Fax
| Phone: | 7325444749 |
| Fax: |
Provider Mailing Location
2146 ALDRIN RD APT 7A
OCEAN
NJ
077122417
Provider Mailing Phone/Fax
| Phone: | 7325444749 |
| Fax: |