LOLA BENNETT

BRONX, NY
NPI1316353238
Professional NameLOLA J BENJAMIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  174625)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  405828-1)
Enumeration Date2014-07-11
Last Update Date2014-07-11
Business Address
-- LOLA BENNETT
1000 PELHAM PKWY S LTHHCP
BRONX, NY 10461-1003
Phone number: 718-409-7992
Mailing Address
-- LOLA BENNETT
1115 CROES AVE B2
BRONX, NY 10472-4533
Phone number: 917-548-7532