Havasu Primary Care, Ltd.

LBN: Havasu Primary Care, Ltd.
Havasu Primary Care, Ltd. is an health care organization with primary practice located at 1830 Mesquite Ave Suite B, Lake Havasu City AZ 86403-5885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Havasu Primary Care, Ltd. can be contacted via phone (928) 453-0777, or through Lonial, Manu via phone (928) 453-0777.

Contact Information

Primary practice address
1830 Mesquite Ave Suite B Lake Havasu City AZ 86403-5885
Phone: (928) 453-0777
Fax: (928) 453-0778
Website:
Map and Directions
Authorized official contact:
Name: Lonial, Manu Doctor of Medicine (MD)
Phone: (928) 453-0777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43225 Arizona

Profile Details

NPI number 1508169616
LBN Legal business name Havasu Primary Care, Ltd.
DBA Doing business as
Authorized official Lonial, Manu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2010
Last updated Dec 10th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508169616 NPPES
Arizona Other 16428743 CORPORATION REGISTRATION

Popular Providers