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Individual

DUSTIN LANSING BENNETT

Active
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Individual

DUSTIN LANSING BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA3394
NV
363A00000X
Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
Primary
PA3394
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669039525
DOD
Enumeration date
05/24/2019
Last updated
05/28/2026
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