| NPI | 1487314878 |
|---|---|
| Doing Business As | INNOVATIVE PRIMARY CARE OF LAKE HAVASU LLC |
| Entity Type | Organization |
| Authorized Contact | LOIDA L ARQUIZA Owner 240-535-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |