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Individual

DR. LISA D. BENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

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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