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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAWRENCE ESTEL BANTA, M.D.

Active

LAWRENCE ESTEL BANTA, M.D. is a Psychiatry healthcare provider located in CALDWELL, Idaho. NPI 1568440295 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · CALDWELL, ID

Registration Details

NPI Number
1568440295
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2006 (20.581567874711 yrs)
Last Updated
Feb 10, 2022
License
M-5243 (ID)

Practice Information

Address
1906 FAIRVIEW AVE
SUITE 200
CALDWELL, ID, 836055407
Browse ID providers · Browse ZIP 83605
Phone
2084594667
Fax
2084426520
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in CALDWELL, ID

Name Credential NPI
DR. L. MARK KIMSEY M.D. 1528022084
DR. RICHARD A. MONTGOMERY M.D. 1275567638
DR. SANDRA LARE D.O. 1073699559
DR. ALFRED F BREM DO 1427187848
COLT KENNINGTON 1386106268
DANIEL RULON ANDERSON PMHNP-BC 1790518751
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.