Individual
LYDIA B. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 S RIVER RD, BEDFORD, NH 03110
(603) 537-1300
Mailing address
6 BUTTRICK RD STE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11261
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30201508
—
NH
Enumeration date
10/17/2005
Last updated
08/08/2018
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