Organization
HRMC, LLC
Active
Other names
Specialty Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1851 MESQUITE AVE, SUITE 210, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-7540
(928) 854-2504
Mailing address
1851 MESQUITE AVE, STE. 210, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-7540
(928) 854-2504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
47872
AZ
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
50523
AZ
207RP1001X
Pulmonary Disease Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
3167
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622682
TRADE NAME REGISTRATION
AZ
Enumeration date
06/03/2015
Last updated
10/13/2024
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