Organization
INNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC
Active
Other names
Innovative Primary Care of Lake Havasu LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LOIDA L ARQUIZA NP (OWNER)
(240) 535-0065
Entity
Organization
Contact information
Practice address
1945 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5889
(928) 733-6287
(928) 733-6305
Mailing address
1945 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5889
(928) 733-6287
(928) 733-6305
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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