Virginia L Bennett, MS, RD, LD

NPI #1033172036 in Forest Lake, Minnesota

Provider Information

NPI Number: 1033172036
Entity Type: Individual
Name: Virginia L Bennett, MS, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RD, LD
Enumeration Date: Apr 10, 2006
Last Updated: Nov 21, 2008

Practice Location

Address: 1540 LAKE ST S
City: Forest Lake
State: Minnesota
ZIP Code: 55025-2628
Phone: (651) 464-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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