Individual
MRS. LUTRICIA FREEMAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-7483
(704) 671-7482
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-7483
(704) 671-7482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5002913
NC
Other
Enumeration date
05/15/2007
Last updated
10/21/2010
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