Lanie Benson is a General Practice Physician based in Driggs, ID. Lanie Benson practices in Driggs, ID. The NPI Number for Lanie Benson is 1215344353 and holds a License No. D9358 (Idaho).
The current practice location address for Lanie Benson is 460 N 3Rd E, Driggs, ID and can be reached out via phone at 208-821-2141.
Location: 460 N 3Rd E, Driggs, ID, 83422-0847
Provider Profile Details
NPI Number
1215344353
Provider Name
Lanie Benson
Credential
Provider Entity Type
Individual
Gender
Male
Address
460 N 3Rd E, Driggs, ID, 83422-0847
Phone Number
208-821-2141
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
460 N 3Rd E
City
State
Zip
83422-5146
Phone Number
208-821-2141
Fax Number
Provider Business Mailing Address Details
Address
460 N 3Rd E
City
State
Zip
83422-5146
Phone Number
208-821-2141
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D9358 (Texas)
Definition
Definition to come...
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