Organization
LAKE HAVASU FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA NICOLE SOBCHUK O.D. (OWNER)
(928) 855-5026
Entity
Organization
Contact information
Practice address
2277 SWANSON AVE STE 100, LAKE HAVASU CITY, AZ 86403-5991
(928) 855-5026
(928) 854-4512
Mailing address
2277 SWANSON AVE STE 100, LAKE HAVASU CITY, AZ 86403-5991
(928) 855-5026
(928) 854-4512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1311
AZ
Other
Enumeration date
05/18/2007
Last updated
01/09/2019
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