Individual
LAUREN ASHLEY COLLINS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6307 TUNSTON LN, CHARLOTTE, NC 28269-6915
(704) 202-3009
Mailing address
6307 TUNSTON LN, CHARLOTTE, NC 28269-6915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119922
NC
Other
Enumeration date
10/30/2017
Last updated
11/01/2022
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