Individual
LAUREN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1235 UPPER FRONT ST, BINGHAMTON, NY 13905-1168
(607) 429-9687
Mailing address
1235 UPPER FRONT ST, BINGHAMTON, NY 13905-1168
(607) 429-9687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021866-1
NY
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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