Organization
BEHNAWA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
1500 AVENUE H, ELY, NV 89301-2615
(702) 453-3799
(702) 453-5741
Mailing address
1402 LAKE TAPPS PKWY SE, STE 104-288, AUBURN, WA 98092-8157
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14179
NV
208M00000X
Hospitalist Physician
Primary
14179
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14179
NV LIC
NV
Enumeration date
01/17/2013
Last updated
09/12/2013
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