Healthcare Provider Details

I. General information

NPI: 1922207638
Provider Name (Legal Business Name): LARA JEANINE ARNDAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 PULLMAN DR
SPARKS NV
89434-7921
US

IV. Provider business mailing address

1441 PULLMAN DR
SPARKS NV
89434-7921
US

V. Phone/Fax

Practice location:
  • Phone: 775-432-1343
  • Fax:
Mailing address:
  • Phone: 775-432-1343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA99365
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: