Individual
LAUREN ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1145 OLENTANGY RIVER RD STE 2200, COLUMBUS, OH 43212-3117
(614) 293-0223
(614) 293-7232
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-0223
(614) 293-7232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007844RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002259
—
OH
Enumeration date
05/06/2022
Last updated
12/19/2022
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