Individual
MRS. LORA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 N CALEDONIA DR, OWOSSO, MI 48867-8844
(989) 729-4848
(989) 729-4849
Mailing address
7673 W HIDDEN LK, PERRY, MI 48872-8147
(517) 282-2720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
MI
Other
Enumeration date
12/08/2020
Last updated
08/28/2023
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