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Contact Information

LILLIE R BENNETT MD LTD
1510 NORTH 28TH STREET
SUITE 207
RICHMOND, VA23223
 Phone: 804-649-0044
 Fax: 804-649-0758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LILLIE R BENNETT MD LTD · (Female)

NPI # 1255456414
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101233413
  • VA Medicaid 6737188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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