NPI Profile for MRS. LAUREN M BENTLEY in RIVERVIEW, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Military Health Care Provider |
171000000X |
| NPI # | 1316556590 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 07/23/2020 | |
| Last updated | 04/30/2026 - About a month ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAUREN M BENTLEY
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