LAKE HAVASU OB/GYN CARE LLC NPI 1649615899

NPI Information

LAKE HAVASU OB/GYN CARE LLC is an obstetrics gynecology in Lake Havasu City, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LAKE HAVASU OB/GYN CARE LLC NPI is 1649615899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2130 MESQUITE AVE UNIT 100
LAKE HAVASU CITY, AZ
ZIP 86403-897
Phone: (928) 302-5100
Fax: (928) 302-5103

The provider's authorized official is Kevin James Hooker .
The authorized official title is Owner and has the following contact phone number (928) 302-5511.

The CLIA number assigned to this NPI record is 26D1090314 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/1/2013 and was last updated on 8/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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