Individual
LISA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
(810) 664-8728
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
05/14/2026
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