Individual
LOUIS M BENEVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3961 E LOHMAN AVE STE 33, LAS CRUCES, NM 88011-8440
(575) 522-0423
(575) 556-0201
Mailing address
3961 E LOHMAN AVE STE 33, LAS CRUCES, NM 88011-8440
(575) 522-0423
(575) 556-0201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
723
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02428
—
NM
Enumeration date
07/08/2006
Last updated
03/19/2024
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