Individual
DR. LUCKY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
2201 MOUNT VERNON AVE, ALEXANDRIA, VA 22301-1313
(571) 228-9718
Mailing address
2201 MOUNT VERNON AVE, ALEXANDRIA, VA 22301-1313
(571) 228-9718
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NP-0012
DC
175F00000X
Naturopath
NT 60059890
WA
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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