Individual
LAVERN K BENTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2041 GEORGIA AVE NW HUH B105, WASHINGTON, DC 20060-2306
(202) 865-6100
(202) 865-6713
Mailing address
7611 MAPLE AVE, #407, TAKOMA PARK, MD 20912-5559
(202) 378-3307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
240118
NY
Other
Enumeration date
06/03/2006
Last updated
11/01/2019
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