Organization
BENEVITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI F LAWRENSON (OWNER/MANAGER)
(334) 386-0343
Entity
Organization
Contact information
Practice address
5303 VAUGHN RD, MONTGOMERY, AL 36116-1120
(334) 386-0343
(334) 386-0382
Mailing address
5303 VAUGHN RD, MONTGOMERY, AL 36116-1120
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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