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MR. JAMES LYNNE BENNINGTON M.D.

Anatomic Pathology >> Pathology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1154758548

Individual Registrant:
MR. JAMES LYNNE BENNINGTON M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
55 BEACH ROAD  BELVEDERE, CA 94920 US
Tel: 415-435-7706  Fax: 415-435-8469

Contact information for business:
P.O. BOX 1275  BELVEDERE, CA 94920 US
Tel: 415-435-7706  Fax: 415-435-8469

Registration Information:
NPI: 1154758548
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZP0101XAllopathic & Osteopathic Physicians
Pathology
Anatomic Pathology
CACFE24056

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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