Individual
EMILY LAWSON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013
(540) 985-8552
(540) 985-8518
Mailing address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 985-8552
(540) 985-8518
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175799
VA
Other
Enumeration date
12/18/2015
Last updated
04/04/2019
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