Doctor Name: | MR. LAWRENCE KIRK BENNETT |
NPI Number: | 1477569986 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25691 |
Business Practice Address: | 303 Nature Rd Blythewood, SC - 290169541 |
Business Phone Number: | 8037405339 |
Business Fax Number: | |
Mailing Address: | 303 Nature Rd, BLYTHEWOOD |
State: | SC |
Postal Code: | 290169541 |
Phone Number: | 8037405339 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 12/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 25691 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |