Individual
LYNNE MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARRT RM
Contact information
Practice address
2325 PLEASANTON CT SE, LACEY, WA 98503-3410
(360) 350-0029
Mailing address
2325 PLEASANTON CT SE, LACEY, WA 98503-3410
(360) 350-0029
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
00085109
CA
247100000X
Radiologic Technologist
105444
OR
247100000X
Radiologic Technologist
Primary
108238
—
247100000X
Radiologic Technologist
60005660
WA
2471M2300X
Mammography Radiologic Technologist
00085109
CA
2471M2300X
Mammography Radiologic Technologist
108238
—
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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