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Individual

DR. LAWRENCE D GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2337 PROMETHEUS CT, HENDERSON, NV 89074-5339
(702) 433-1804
Mailing address
2337 PROMETHEUS CT, HENDERSON, NV 89074-5339
(702) 433-1804

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NV2962
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002002166
NV
Enumeration date
04/18/2006
Last updated
04/16/2015
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