INNOVATIVE PRIMARY CARE CLINIC OF HAVASU PLLC is a primary care nurse practitioner in Lake Havasu City, AZ. INNOVATIVE PRIMARY CARE CLINIC OF HAVASU PLLC NPI is 1588097349. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
297 LAKE HAVASU AVE S
SUITE 106
LAKE HAVASU CITY, AZ
ZIP 86403-526
Phone: (928) 854-7666
Fax: (928) 854-7660
The provider's authorized official is Jacquelyn J. Meyer .
The authorized official title is President and has the following contact phone number (928) 854-7666.
The enumeration date for this NPI number is 8/15/2013 and was last updated on 8/16/2013.