DR. Loren Wallace Bennett, O.D., M.P.H.

NPI #1215989603 in Mountain Home, Tennessee

Provider Information

NPI Number
1215989603
Entity Type
Individual
Name
DR. Loren Wallace Bennett, O.D., M.P.H.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D., M.P.H.
Enumeration Date
May 16, 2006
Last Updated
Jul 8, 2008

Practice Location

Address
JAMES H. QUILLEN VAMC, SIDNEY/LAMONT ST
Address 2
EYE CLINIC 112E
ZIP Code
37684
Phone
(423) 926-1171

Specialties & Taxonomy Codes

Specialty
Optometrist

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