Individual
LASASHA SHERESE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 957-5375
Mailing address
110 SURREY PL, PERRY, GA 31069-9636
(478) 957-5375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN290931
GA
Other
Enumeration date
12/06/2025
Last updated
12/06/2025
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