Individual
DR. LUCAS BANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 112TH AVE NE STE B100, BELLEVUE, WA 98004-3751
(425) 462-1132
(425) 456-3668
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61661908
WA
208000000X
Pediatrics Physician
MD61661908
WA
Other
Enumeration date
04/05/2021
Last updated
09/23/2025
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