Individual
DR. LISA D. BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2055 WATER CREST LN, COLUMBUS, OH 43209-3337
(415) 746-0627
(614) 255-0763
Mailing address
2055 WATER CREST LN, COLUMBUS, OH 43209-3337
(415) 746-0627
(614) 255-0763
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
35.092443
OH
208600000X
Surgery Physician
Primary
G028077
CA
Other
Enumeration date
11/01/2006
Last updated
04/18/2013
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