Individual
LILLIE ROBINSON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2809 NORTH AVENUE, #201, RICHMOND, VA 23222
(804) 321-2651
(804) 321-5985
Mailing address
2809 NORTH AVENUE, #201, RICHMOND, VA 23222
(804) 321-2651
(804) 321-5985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101018892
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6739725
—
VA
Enumeration date
11/10/2006
Last updated
07/08/2007
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