Individual provider · Type 1 NPI
Lanie Benson
General Practice Physician · Driggs, ID
NPI number
1215344353
Active
Practice location
460 N 3rd E
Driggs, ID 83422-5146
Mailing address
PO Box 847
Driggs, ID 83422-0847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D9358 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1215344353
Lanie Benson's National Provider Identifier is 1215344353, issued on Jul 22, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Driggs, ID. The record was last updated on Jul 22, 2014.