Physician Assistant, Surgical
LARA BENNETT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407227465 · enumerated 2015-10-15 · record updated 2015-10-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2929 E THOMAS RD, PHOENIX, AZ, 85016-8034 (602) 470-5043 Fax (602) 470-5064 Google Maps Apple Maps OpenStreetMap
- Practice location 2601 E ROOSEVELT ST, PHOENIX, AZ, 85008-4973 (623) 344-6700 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License 6229 AZ
In this directory
Locations and evidence
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Practice location
PHOENIX, AZ, 850084973
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.