Individual
LUCAS BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
4100 CAMPUS RIDGE DR, MIDLAND, MI 48670-2000
(989) 488-5450
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704377176
MI
Other
Enumeration date
05/23/2025
Last updated
07/07/2025
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