Individual
BENOIT LEBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(713) 591-9963
Mailing address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDO.83515
SC
Other
Enumeration date
03/08/2018
Last updated
03/22/2022
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