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

Lake Havasu OB/GYN, PC

Organization Medical Specialty Clinic/Center · NPI 1598944811

Lake Havasu OB/GYN, PC is a Medical Specialty Clinic/Center in Lake Havasu City, Arizona. Licensed in Arizona and California. Registered with an NPI since 2007.

Licensed in
AZ, CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

99 Riviera Dr
Lake Havasu City, AZ 86403-5713
Phone: (928) 680-2846
Fax: (928) 680-2845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 3696 (AZ)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 20A8265 (CA)

Record details

NPI number1598944811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jo Urso — Owner · (928) 680-2846
NPI enumeratedNovember 2, 2007
Last updated in NPPESFebruary 29, 2012
Mailing address99 Riviera Dr, Lake Havasu City, AZ 86403-5713

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