Individual
DR. LISA INGRID BANCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5458 TOWN CENTER RD, SUITE #22, BOCA RATON, FL 33486-1089
(561) 392-2950
(561) 391-2970
Mailing address
5458 TOWN CENTER RD, SUITE #22, BOCA RATON, FL 33486-1089
(561) 392-2950
(561) 391-2970
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0055218
FL
Other
Enumeration date
07/04/2006
Last updated
06/03/2013
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