Individual
LAWRENCE E BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8886 WINDTREE ST, BOCA RATON, FL 33496-5090
(561) 245-0987
Mailing address
8886 WINDTREE ST, BOCA RATON, FL 33496-5090
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
0101026264
VA
Other
Enumeration date
05/19/2007
Last updated
03/02/2012
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