Dr LAWRENCE E BANTA MD is a male medical professional, specializing in Psychiatry. He graduated in 1978 from University Of Nebraska College Of Medicine.
WEST VALLEY MEDICAL GROUP LLC
1717 ARLINGTON AVE
CALDWELL
ID
836054802
Tel: 2084594641
| Npi | 1568440295 |
| Pac Id | 3678592094 |
| Professional Enrollment Id | I20051115000804 |
| Last Name | BANTA |
| First Name | LAWRENCE |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WEST VALLEY MEDICAL GROUP LLC |
| Group Practice Pac Id | 8729180310 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 1717 ARLINGTON AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CALDWELL |
| State | ID |
| Zip Code | 836054802 |
| Phone Number | 2084594641 |
| Hospital Affiliation Ccn 1 | 130014 |
| Hospital Affiliation Lbn 1 | WEST VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130007 |
| Hospital Affiliation Lbn 2 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 130071 |
| Hospital Affiliation Lbn 3 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 130006 |
| Hospital Affiliation Lbn 4 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.