Provider Demographics
NPI:1982070777
Name:BENOIT, LORREL YVETTE (CRNA)
Entity Type:Individual
Prefix:
First Name:LORREL
Middle Name:YVETTE
Last Name:BENOIT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12467 SW 44TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6004
Mailing Address - Country:US
Mailing Address - Phone:305-335-9651
Mailing Address - Fax:
Practice Address - Street 1:12467 SW 44TH CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6004
Practice Address - Country:US
Practice Address - Phone:305-335-9651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-15
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9281642367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered