Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lenise A. Banse, MD, PC

Organization Dermatology Physician · NPI 1811041890

Lenise A. Banse, MD, PC is a Dermatology Physician in Clinton Township, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

42452 Hayes Rd Ste 3
Clinton Township, MI 48038-6771
Phone: (586) 263-3130
Fax: (586) 263-5183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301047653 (MI)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 4301047653 (MI)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 4301047653 (MI)

Record details

NPI number1811041890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lenise Banse — Owner · (586) 263-3130
Other names Northeast Family Dermatology Center
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJune 25, 2010
Mailing address42452 Hayes Rd, Suite 3, Clinton Township, MI 48038-6771

Other providers in Clinton Township