Organization
PRESCOTT VAMC
Active
Other names
LAKE HAVASU VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
145 PARK AVE, LAKE HAVASU CITY, AZ 86403-9302
(702) 341-3152
(702) 341-3503
Mailing address
PO BOX 94411, CLEVELAND, OH 44101-4411
(702) 341-3152
(702) 341-3503
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
02/20/2025
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