| Lakeview Family Health Care | |
|
2090 Smoketree Ave N Lake Havasu City AZ 86403-5806 | |
| (928) 854-1800 | |
| (928) 854-1818 |
| Full Name | Lakeview Family Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2090 Smoketree Ave N, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Kelli Michelle Ward (OWNER) |
| Authorized Official Contact | 9288541800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Family Health Care 2090 Smoketree Ave N Lake Havasu City AZ 86403-5806 Ph: (928) 854-1800 | Lakeview Family Health Care 2090 Smoketree Ave N Lake Havasu City AZ 86403-5806 Ph: (928) 854-1800 |
| NPI Number | 1053582627 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053582627 | NPI | - | NPPES |
| CG1872 | Other | AZ | RAILROAD MEDICARE |
| G96720 | Other | AZ | MEDICARE GROUP |
| AZ0857940 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 470724 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3425 (Arizona) | Primary |
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