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Individual

MRS. LORI ELLEN BENHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
18842 S MEMORIAL DR STE 202, HUMBLE, TX 77338-4229
(281) 446-4644
(281) 446-0687
Mailing address
1327 CHESTNUT RIDGE RD, KINGWOOD, TX 77339-3474
(281) 446-4644
(281) 446-0687

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
553792
TX

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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