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Organization

MONICA VIAL BENSON, M.D., APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA VIAL BENSON M.D. (M.D.)
(985) 785-6204
Entity
Organization

Contact information

Practice address
126 POST DRIVE, LULING, LA 70070
(985) 785-6204
(985) 785-6509
Mailing address
PO BOX 481, LULING, LA 70070-0481
(985) 785-6204
(985) 785-6509

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013753
LA
208100000X
Physical Medicine & Rehabilitation Physician
013753
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174726
LA
Enumeration date
08/18/2008
Last updated
08/18/2008
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