Lawrence Estel Banta, M.D.

NPI #1568440295 in Caldwell, Idaho

Provider Information

NPI Number
1568440295
Entity Type
Individual
Name
Lawrence Estel Banta, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
M.D.
Enumeration Date
Jan 3, 2006
Last Updated
Feb 10, 2022

Practice Location

Address
1906 FAIRVIEW AVE
Address 2
SUITE 200
State
Idaho
ZIP Code
83605-5407
Phone
(208) 459-4667

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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