Individual
DR. LISA M. BANITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2530 CHAMBERLAIN ST, AMES, IA 50014
(877) 811-7526
(515) 292-5340
Mailing address
818 5TH AVE, SUITE 200, DES MOINES, IA 50309-1307
(877) 811-7526
(515) 280-9525
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29592
NE
207V00000X
Obstetrics & Gynecology Physician
Primary
33499
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212647
—
IA
Enumeration date
09/29/2005
Last updated
06/07/2018
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