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Contact Information

LUCAS BANNING, AGACNP-BC
4100 CAMPUS RIDGE DR
MIDLAND, MI48670-2000
 Phone: 989-488-5450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LUCAS BANNING · (Male)

NPI # 1073306031
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 05/23/2025
Last updated 07/07/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704377176
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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