Lillie R Bennett MD Ltd

NPI #1255456414 in Richmond, Virginia

Provider Information

NPI Number: 1255456414
Entity Type: Organization
Organization Name: Lillie R Bennett MD Ltd
Primary Specialty: Pediatrics
Enumeration Date: Mar 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1510 NORTH 28TH STREET
Address 2: SUITE 207
City: Richmond
State: Virginia
ZIP Code: 23223
Phone: (804) 649-0044

Authorized Official

Name: LILLIE R BENNETT, MD
Title: PRESIDENT
Phone: (804) 321-2651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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