Banasiak, Lisa

Banasiak, Lisa is an individual health care provider with primary practice located at 7130 Magnolia Ave Ste. R, Riverside CA 92504-3864. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Banasiak, Lisa can be contacted via phone (951) 213-6742.

Contact Information

Primary practice address
7130 Magnolia Ave Ste. R Riverside CA 92504-3864
Phone: (951) 213-6742
Fax: (951) 534-0551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PCI 208 California

Profile Details

NPI number 1578908752
LBN Legal business name Banasiak, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2013
Last updated May 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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