MS. Mckenzie Jolie Ann Bennett, LDO
NPI #1225782428 in Lacey, Washington
Provider Information
- NPI Number
- 1225782428
- Entity Type
- Individual
- Name
- MS. Mckenzie Jolie Ann Bennett, LDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO
- Enumeration Date
- Feb 7, 2022
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 700 SLEATER KINNEY RD SE STE E
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1113
- Phone
- (253) 209-4295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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