Benning, Lisa Ann

Benning, Lisa Ann is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62702-3757. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Benning, Lisa Ann can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62702-3757
Fax: (217) 753-0815
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036078400 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036078400 Illinois

Profile Details

NPI number 1689672289
LBN Legal business name Benning, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Sep 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689672289 NPPES
Illinois MEDICAID 036078400

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