Lisa Bennett

NPI #1710448626 in Lapeer, Michigan

Provider Information

NPI Number: 1710448626
Entity Type: Individual
Name: Lisa Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Mar 26, 2019
Last Updated: Mar 26, 2019

Practice Location

Address: 1570 SUNCREST DR
City: Lapeer
State: Michigan
ZIP Code: 48446-1154
Phone: (810) 667-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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