NPI 1215344353

Lanie Benson

Practitioner General Practice Physician Driggs, ID

Practice location

Address: 460 N 3rd E, Driggs, ID 83422-5146
Phone: (208) 821-2141
Mailing address: PO Box 847, Driggs, ID 83422-0847

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence D9358 (TX)

Other General Practice providers in Idaho →

Registry record

NPI: 1215344353
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2014
Record last updated: 22 Jul 2014

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.