LESAN BANKO, M.D. INC.
Osteopathic Medicine at Hesperia Rd, Victorville, CA

License number
California A104321
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: LESANEMARIE T BANKO M.D.
Title: CEO
Phone: (760) 843-7675
Address
Address
13010 Hesperia Rd STE 500, Victorville, CA 92395
National Provider ID: 1093044794
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LESAN BANKO, M.D. INC

Victorville, CA  -  Rancho Cucamonga, CA

Industry:
Medical Doctor's Office
Registration:
Dec 8, 2009
Phone:
(760) 843-7675 (Phone)
Addresses:
13010 Hesperia Rd #500, Victorville, CA 92395 (Physical)
10850 Church St, Rancho Cucamonga, CA 91730
State ID:
C3262954
Business type:
Articles of Incorporation
President:
Lesan Banko (President)

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