Lee-Benner, Lord A

Lee-Benner, Lord A is an sole proprietor health care provider with primary practice located at 4121 Westerly Pl Ste 204 , Newport Beach CA 92660-2338. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Lee-Benner, Lord A can be contacted via phone (949) 903-6021.

Contact Information

Primary practice address
4121 Westerly Pl Ste 204 Newport Beach CA 92660-2338
Phone: (949) 903-6021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G20669 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G20669 California

Profile Details

NPI number 1447359930
LBN Legal business name Lee-Benner, Lord A
Credentials MD,FACE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1447359930 NPPES
California Other G20669 LICENCE

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