LISA M BANKE

SONORA COMMUNITY HOSPITAL

Dr LISA M BANKE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

SONORA COMMUNITY HOSPITAL

23 N MAIN ST
ANGELS CAMP ORTHOPEDIC
ANGELS CAMP
CA
952229328

Tel: 2097361147

LISA M BANKE Information

Npi 1275048159
Pac Id 9335401157
Professional Enrollment Id I20180314002341
Last Name BANKE
First Name LISA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SONORA COMMUNITY HOSPITAL
Group Practice Pac Id 4284538505
Number Of Group Practice Members 97
Line 1 Street Address 23 N MAIN ST
Line 2 Street Address ANGELS CAMP ORTHOPEDIC
Marker Of Address Line 2 Suppression
City ANGELS CAMP
State CA
Zip Code 952229328
Phone Number 2097361147
Hospital Affiliation Ccn 1 050335
Hospital Affiliation Lbn 1 ADVENTIST HEALTH SONORA
Hospital Affiliation Ccn 2 051332
Hospital Affiliation Lbn 2 MARK TWAIN MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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