Individual
DR. LISA MARLENE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5426 PATRIOT HWY, FREDERICKSBURG, VA 22407-2616
(540) 891-2020
(540) 898-5005
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002036
VA
152WP0200X
Pediatric Optometrist
5647
NJ
Other
Enumeration date
06/15/2006
Last updated
07/14/2022
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