Individual
LASEAN BANISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 E 16TH ST, PATERSON, NJ 07524-2043
(862) 239-3894
Mailing address
229 E 16TH ST APT 5, PATERSON, NJ 07524-2043
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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