Search › California › 101YP2500X
Lisa Banasiak
NPI 1578908752 · on the registry since 2013
Practice
- Address
- 7130 Magnolia Ave
Ste. R
Riverside, CA 92504 - Phone
- (951) 213-6742
- Fax
- (951) 534-0551
- Organisation at this address
- Eadara, Inc.
Young Tigers Inc.
Amazing Grace Hospice Care, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California