Individual
DR. LARS BENJAMIN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5838 SIX FORKS RD, SUITE 100, RALEIGH, NC 27609-3885
(919) 785-3400
Mailing address
5838 SIX FORKS RD, SUITE 100, RALEIGH, NC 27609-3885
(919) 785-3400
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125056507
IL
Other
Enumeration date
09/30/2010
Last updated
07/22/2015
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