Individual
MRS. LUPE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1755 MCCULLOCH BLVD N STE 102A, LAKE HAVASU CITY, AZ 86403-0003
(951) 404-4458
Mailing address
32672 JUNIPER BERRY DR, WINCHESTER, CA 92596-8658
(951) 306-9678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95033237
CA
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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