Individual
MS. LAURIE A BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
627 RANDALL RD, LUDLOW, MA 01056-1085
(413) 858-0336
(413) 589-0912
Mailing address
66 COREY COLONIAL, AGAWAM, MA 01001-2746
(413) 537-1267
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN206945
MA
363LG0600X
Gerontology Nurse Practitioner
RN206945
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN206945
MA
Other
Enumeration date
10/10/2013
Last updated
04/04/2018
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