Individual
MRS. LISA MARIE BANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1062 BARNES ROAD, SUITE 102, WALLINGFORD, CT 06492
(203) 294-6328
(203) 294-6346
Mailing address
1062 BARNES ROAD, SUITE 102, WALLINGFORD, CT 06492
(203) 294-6328
(203) 294-6346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
CTE49289
CT
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
E49289
CT
Other
Enumeration date
10/30/2006
Last updated
09/11/2025
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