Individual
LISA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7720 W SAHARA AVE STE 104, LAS VEGAS, NV 89117-2754
(702) 240-0500
Mailing address
7720 W SAHARA AVE STE 104, LAS VEGAS, NV 89117-2754
(702) 240-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B856
NV
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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