Individual
L. A. BONNESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 W BELL RD, #249, PHOENIX, AZ 85053-2925
(602) 280-2602
(602) 866-7759
Mailing address
3310 W BELL RD, #249, PHOENIX, AZ 85053-2925
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/26/2007
Last updated
09/11/2025
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