Organization
WENNER FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA C WENNER M.D. (PRESIDENT)
(703) 360-2088
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY STE 135, LAS VEGAS, NV 89128-0463
(702) 360-2088
(702) 360-5428
Mailing address
3150 N TENAYA WAY STE 135, LAS VEGAS, NV 89128-0463
(702) 360-2088
(702) 360-5428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10220
NV
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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