person
Lara Bennett
Surgical Physician Assistant in Phoenix, Arizona
NPI 1407227465

Lara Bennett is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Lara Bennett practices in Phoenix, AZ. The NPI Number for Lara Bennett is 1407227465 and holds a License No. 6229 (Arizona).

The current practice location address for Lara Bennett is 2601 E Roosevelt St, Phoenix, AZ and can be reached out via phone at 623-344-6700.

Location: 2601 E Roosevelt St, Phoenix, AZ, 85016-8034
person
Provider Profile Details
NPI Number
1407227465
Provider Name
Lara Bennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
2601 E Roosevelt St, Phoenix, AZ, 85016-8034
Phone Number
623-344-6700
Fax Number
Provider Enumeration Date
10/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2601 E Roosevelt St
City
State
Zip
85008-4973
Phone Number
623-344-6700
Fax Number
person
Provider Business Mailing Address Details
Address
2601 E Roosevelt St
City
State
Zip
85008-4973
Phone Number
623-344-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
6229 (Arizona)
Definition
Definition to come...
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