Banaszak, Lloyd J
Banaszak, Lloyd J is an individual health care provider with primary practice located at 2855 Campus Dr Suite 400, Plymouth MN 55441-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Banaszak, Lloyd J can be contacted via phone (612) 577-7400.Contact Information
Primary practice address
2855 Campus Dr Suite 400
Plymouth MN 55441-2659
Phone: (612) 577-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 277997 | Minnesota |
Profile Details
| NPI number | 1700835956 |
|---|---|
| LBN Legal business name | Banaszak, Lloyd J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Nov 4th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700835956 | NPPES |
| Minnesota | MEDICAID | 987570100 |
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