Individual
DR. LAURA L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457
(406) 535-1502
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6918
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091273
—
MT
Enumeration date
05/15/2006
Last updated
08/15/2018
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