Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Burt Faibisoff, MD, PLLC

Organization Plastic Surgery Physician · NPI 1336396761

Burt Faibisoff, MD, PLLC is a Plastic Surgery Physician in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2035 Mesquite Ave Ste A
Lake Havasu City, AZ 86403-5894
Phone: (928) 680-7707
Fax: (928) 680-7773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 13213 (AZ)

Record details

NPI number1336396761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Burt Faibisoff — Member · (928) 680-7707
NPI enumeratedAugust 27, 2008
Last updated in NPPESAugust 27, 2008
Mailing address2035 Mesquite Ave, Suite A, Lake Havasu City, AZ 86403-5894

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