Laurie Jean Bennink LPN

NPI 1104149194 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1104149194
Gender Female
Enumeration Date 03/05/2010
Last Updated 03/05/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
220 FLUVANNA AVE STE 200
JAMESTOWN NY, 14701-2051, US
Phone (716) 487-1131
Fax
Business Location
17 SQUIRES AVE
LAKEWOOD NY, 14750-1517, US
Phone (716) 450-5391
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 276920
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According to our database, Ms. Laurie Jean Bennink LPN NPI is 1104149194, taxonomy code is 164W00000X and license number is 276920, license state is located at New York. Laurie Jean Bennink LPN physically located at 220 Fluvanna Ave Ste 200, Jamestown NY, 14701-2051. NPI Number Laurie Jean Bennink LPN has the Individual type.

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1104149194 NPI number is provided on an as is basis without warranty of any kind. 1104149194 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Jean Bennink LPN are for informational purposes only.