Organization
LAWRENCE D GARDNER MD FRCS C PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE DAVID GARDNER M.D. (PRESIDENT)
(702) 809-2446
Entity
Organization
Contact information
Practice address
2337 PROMETHEUS CT, HENDERSON, NV 89074-5339
(702) 809-2446
Mailing address
2337 PROMETHEUS CT, HENDERSON, NV 89074-5339
(702) 809-2446
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2962
NV
Other
Enumeration date
01/08/2007
Last updated
04/16/2015
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