Individual
RAYNANDO LAMOUR BANKS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3870 CONVENTION ST, BATON ROUGE, LA 70806
(225) 387-7858
(225) 381-6980
Mailing address
3870 CONVENTION ST, BATON ROUGE, LA 70806-3803
(225) 387-7858
(225) 381-6980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
08979R
LA
207Q00000X
Family Medicine Physician
Primary
08979R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1924245
—
LA
Enumeration date
06/30/2006
Last updated
06/05/2018
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