Organization · Type 2 NPI
Innovative Primary Care of Lake Havasu LLC
Primary Care Clinic/Center · Lake Havasu City, AZ
NPI number
1487314878
Active
Practice location
1945 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5889
Fax (928) 733-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Lake Havasu City
About NPI 1487314878
Innovative Primary Care of Lake Havasu LLC's National Provider Identifier is 1487314878, issued on Dec 27, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Dec 27, 2021.