Individual
LISA E BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8111
(252) 224-0378
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 635-3906
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12944
BLUE CROSS
NC
05
—
8912944
—
NC
Enumeration date
08/24/2005
Last updated
07/21/2022
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