Individual
LORRAINE L BANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
746 JEFFERSON AVE, SUITE 305, SCRANTON, PA 18510-1624
(570) 342-1776
(570) 963-0663
Mailing address
746 JEFFERSON AVE, SUITE 305, SCRANTON, PA 18510-1624
(570) 342-1776
(570) 963-0663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP0009476
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP009476
CRNP LICENSE
PA
Enumeration date
08/14/2007
Last updated
08/04/2021
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