Lillie R Bennett Md Ltd

NPI 1255456414 - Pediatrics - 208000000X

NPI Details
NPI 1255456414
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LILLIE R LILLIE
Position PRESIDENT
Phone (804) 649-0044
Fax (804) 649-0758
Practice Location
1510 NORTH 28TH STREET
SUITE 207
RICHMOND VA, 23223, US
Phone (804) 649-0044
Fax (804) 649-0758
Business Location
1510 NORTH 28TH STREET
SUITE 207
RICHMOND VA, 23223, US
Phone (804) 649-0044
Fax (804) 649-0758
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0101233413
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According to our database, Lillie R Bennett Md Ltd NPI is 1255456414, taxonomy code is 208000000X and license number is 0101233413, license state is located at Virginia. Lillie R Bennett Md Ltd physically located at 1510 North 28th Street, Richmond VA, 23223. NPI Number 1033115704 has the healthcare provider type.

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1255456414 NPI number is provided on an as is basis without warranty of any kind. 1255456414 is maintained by the National Plan & Provider Enumeration System. The contents of Lillie R Bennett Md Ltd are for informational purposes only.