NPI 1073699310 · live from the CMS NPI Registry
Lisa Marie Bankowski, RN
Pediatrics, Adolescent Medicine in Wallingford, CT. National Provider Identifier 1073699310, active.
NPI record
| NPI | 1073699310 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 1062 Barnes Road, Suite 102, Wallingford, CT 06492 |
| Practice phone | 203-294-6328 |
| Enumerated | October 30, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | CTE49289 (CT) |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | E49289 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.