IndividualActive
Andrew Banuskevich, PA
NPI 1730776550 · Physician Assistant · Lebanon, NH
Provider details
- NPI number
- 1730776550
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
One Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-6040
Approximate (ZIP-level) locationGet directions
Mailing address
One Medical Center Dr
Lebanon, NH 03756-0001
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.