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Individual
LISA BENSON
Active
Individual
LISA BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
179194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010014504
UNIVERA
NY
01
—
000526182008
BC/BS
NY
05
—
01170025
—
NY
01
—
0409836
IHA
NY
01
—
050204000019
FIDELIS
NY
01
—
156190BJ
PREFERRED CARE
NY
Enumeration date
10/24/2005
Last updated
07/13/2026
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