Lara Bennett
Lara Bennett is a Surgical Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.
- Licensed in
- AZ
- In the registry since
- 2015
Practice location Address checks out
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone: (623) 344-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 6229 (AZ) |
|---|
Record details
| NPI number | 1407227465 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 15, 2015 |
| Last updated in NPPES | October 15, 2015 |
| Mailing address | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 |
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Marcia Bouton, PA-C
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