Most Relevant Information
Provider Data
| NPI Number: | 1003363805 |
| Provider Name: | LATURRA BENSON |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2016 |
| Last Updated: | 02/07/2022 |
Provider Practice Location
400 RENAISSANCE CTR STE 2600
DETROIT
MI
482431502
Practice Location Phone/Fax
| Phone: | 3135227935 |
| Fax: |
Provider Mailing Location
7108 S KANNER HWY
STUART
FL
349977462
Provider Mailing Phone/Fax
| Phone: | 8558326727 |
| Fax: |