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NPI Code Detail

MEDICARE: DR. LAWRENCE K BANKER D.D.S.

MEDICARE:  DR. LAWRENCE K BANKER  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401005773VA

General Provider Information

NPI Number : 1174549430
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE K BANKER D.D.S.
Provider Business Mailing Address
First Line : 200 LITTLE FALLS ST
Second Line : SUITE #101
City : FALLS CHURCH
State : VA
Zip : 22046-4302
Country : US
Telephone Number : 703-237-7725
Fax Number : 703-237-7729
Provider Business Practice Location Address
First Line : 200 LITTLE FALLS ST
Second Line : SUITE #101
City : FALLS CHURCH
State : VA
Zip : 22046-4302
Country : US
Telephone Number : 703-237-7725
Fax Number : 703-237-7729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LAWRENCE K BANKER D.D.S.” Practice Location

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