Individual
LAWRENCE S. BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
875 ENFIELD ST, ENFIELD, CT 06082-3617
(860) 741-3014
Mailing address
18 UNION ST, WEST SPRINGFIELD, MA 01089-3317
(413) 781-0100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4605
CT
363A00000X
Physician Assistant
Primary
PA7274
MA
Other
Enumeration date
09/26/2019
Last updated
12/27/2021
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