Individual provider · Type 1 NPI

Dominique Bennett, LPN

Licensed Practical Nurse · Cleveland, OH

NPI number 1124990130 Active

Practice location

2027 W 91st St
Cleveland, OH 44102-3747

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN188428 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124990130

Dominique Bennett, LPN's National Provider Identifier is 1124990130, issued on Sep 19, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland, OH. The record was last updated on Sep 19, 2025.