| NPI | 1023437886 |
|---|---|
| Professional Name | LISA RENEE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201607001NP-PP) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2016-09-30 |