DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1982645412

NPI Code Detail

MEDICARE: LISA BENNETT MD

MEDICARE: LISA BENNETT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35078924B	OH
2	207P00000X	Emergency Medicine Physician	0101280908	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00250500	OTHER	OH	MEDICARE RR-GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	942460636373	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1982645412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA BENNETT MD

Provider Business Mailing Address
First Line	:	3601 SW 160TH AVE STE 250
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-6314
Country	:	US
Telephone Number	:	954-399-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 WESTERRE PKWY STE 300
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1339
Country	:	US
Telephone Number	:	954-399-4673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	11/13/2024

Similar Medicare Providers

1770076523 — BEVERLY TALENS LOPEZ FNP-C
Practice Location Address:

3900 WESTERRE PKWY STE 300
RICHMOND, VA
23233-1339

Practice Phone: 615-436-9060
Practice Fax: 615-235-9725

1467307876 — IMPROVE ABA OF VA LLC
Practice Location Address:

3900 WESTERRE PKWY STE 300
RICHMOND, VA
23233-1339

Practice Phone: 833-467-7083
Practice Fax:

1710007455 — MRS. KIMBERLY ANN FELDER HAS
Practice Location Address:

3900 WESTERRE PKWY STE 300
RICHMOND, VA
23233-1339

Practice Phone: 804-768-6800
Practice Fax: 804-768-6900

1780912584 — ALISA M EASTER NP
Practice Location Address:

3900 WESTERRE PKWY STE 300
RICHMOND, VA
23233-1339

Practice Phone: 443-383-9300
Practice Fax: 855-866-8710

1316233828 — DR. ALICE YI-PING CHEN D.O.
Practice Location Address:

3900 WESTERRE PKWY STE 300
RICHMOND, VA
23233-1339

Practice Phone: 954-399-4673
Practice Fax:

1215218854 — DR. SHERIN MOIDEEN MD
Practice Location Address:

3900 WESTERRE PKWY STE 300
RICHMOND, VA
23233-1339

Practice Phone: 804-336-2885
Practice Fax: 804-315-2341

Directions to “ LISA BENNETT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.