Bennett, Lara

Bennett, Lara is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bennett, Lara can be contacted via phone (623) 344-6700.

Contact Information

Primary practice address
2601 E Roosevelt St Phoenix AZ 85008-4973
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6229 Arizona

Profile Details

NPI number 1407227465
LBN Legal business name Bennett, Lara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2015
Last updated Oct 15th, 2015 - about 10 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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