Individual
LAURA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 COLLEGE ST, BATTLE CREEK, MI 49037-3432
(269) 317-1425
Mailing address
175 COLLEGE ST, BATTLE CREEK, MI 49037-3432
(269) 317-1425
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
INTERN
INTERN
MI
Enumeration date
08/23/2022
Last updated
08/23/2022
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