LISA YVONNE BANTA
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1487208286- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 830 EZZARD CHARLES DR, CINCINNATI, OH, 452142525
- Phone
- (513) 381-6672
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: OH #084499