NPI 1104775048

Tanisha Benton

Practitioner Licensed Practical Nurse Lake Charles, LA

Practice location

Address: 5391 Weaver Rd, Lake Charles, LA 70605-5245
Phone: (337) 564-9009
Fax: (337) 270-5603

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 20172411 (LA)

Other Licensed Practical Nurse providers in Louisiana →

Registry record

NPI: 1104775048
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2026
Record last updated: 23 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.