Individual
MS. LEE ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
10026 E 21ST ST STE 21, INDIANAPOLIS, IN 46229-1802
(317) 654-3013
Mailing address
5931 ROLLING BLUFF LN, INDIANAPOLIS, IN 46221-4674
(317) 332-7972
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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