Provider Demographics
NPI:1043071566
Name:BANKS, LAKEVA LANETTE
Entity Type:Individual
Prefix:
First Name:LAKEVA
Middle Name:LANETTE
Last Name:BANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 AVALON LAKE LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7599
Mailing Address - Country:US
Mailing Address - Phone:713-517-5712
Mailing Address - Fax:
Practice Address - Street 1:2605 AVALON LAKE LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7599
Practice Address - Country:US
Practice Address - Phone:713-517-5712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)