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Individual

MS. ELIZABETH L BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025
(812) 537-1010
(812) 923-3209
Mailing address
PO BOX 643179, CINCINNATI, OH 45264-3179
(937) 293-0247

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
085330
OH
163W00000X
Registered Nurse
1055243
KY
163W00000X
Registered Nurse
28151384A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
22698
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000244186
ANTHEM
IN
01
000000556160
ANTHEM
05
0752823
OH
05
200399670
IN
01
430077995
RAILROAD MEDICARE
05
74226986
KY
Enumeration date
08/10/2006
Last updated
05/28/2008
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