Lisa Bennett ATC

NPI 1790706349 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1790706349
Gender Female
Enumeration Date 07/21/2006
Last Updated 09/05/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1201 39TH ST
WASHOUGAL WA, 98671-9112, US
Phone (360) 954-3180
Fax
Business Location
1201 39TH ST
WASHOUGAL WA, 98671-9112, US
Phone (360) 954-3180
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
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According to our database, Mrs. Lisa Bennett ATC NPI is 1790706349, taxonomy code is 2255A2300X Lisa Bennett ATC physically located at 1201 39th St, Washougal WA, 98671-9112. NPI Number Lisa Bennett ATC has the Individual type.

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1790706349 NPI number is provided on an as is basis without warranty of any kind. 1790706349 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Bennett ATC are for informational purposes only.