Individual
LAUREN L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16405 SAND CANYON AVE STE 220, IRVINE, CA 92618-3787
(949) 336-8633
Mailing address
32 FUCHSIA, LAKE FOREST, CA 92630-1431
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY31041
CA
Other
Enumeration date
06/08/2017
Last updated
11/20/2023
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