Provider Demographics
NPI:1467986679
Name:BANKS, LASHATHAN E (DO)
Entity Type:Individual
Prefix:DR
First Name:LASHATHAN
Middle Name:E
Last Name:BANKS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4710 S CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6027
Mailing Address - Country:US
Mailing Address - Phone:504-454-9020
Mailing Address - Fax:504-454-9031
Practice Address - Street 1:3530 HOUMA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4203
Practice Address - Country:US
Practice Address - Phone:504-264-5142
Practice Address - Fax:504-455-2648
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2022-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA326164207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine