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
Phone: (623) 344-6700
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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