HomeNPI Verification

NPI Verification

National Provider Identifier: 1417536731

Lucas Banter, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Primary

Pediatrics

Code: 208000000X

Practice Address

PO BOX 25608

SALT LAKE CITY, UT 841250608

Phone: 206-320-4476

NPI Enumeration Date

April 5, 2021

NPI Number

1417536731

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry