| Doctor Name: | LAURA BENNETT |
| NPI Number: | 1023010717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 267 |
| Business Practice Address: | 33 Neill Ave Suite 208 Helena, MT - 596013381 |
| Business Phone Number: | 4064435354 |
| Business Fax Number: | 4064435727 |
| Mailing Address: | 33 Neill Ave, Suite 208 HELENA |
| State: | MT |
| Postal Code: | 596013381 |
| Phone Number: | 4064435354 |
| Fax Number: | 4064435727 |
| NPI Enumeration Date: | 08/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |