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

Panacea Brain and Spine, LLC

Organization Non-Pharmacy Dispensing Site · NPI 1154765121

Panacea Brain and Spine, LLC is a Non-Pharmacy Dispensing Site in Lake Havasu City, Arizona. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

297 Lake Havasu Ave S Ste 204
Lake Havasu City, AZ 86403-6526
Phone: (928) 453-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1154765121
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPanacea Brain and Spine, LLC
Authorized official Chad Hartley — Owner · (928) 453-2211
NPI enumeratedApril 22, 2013
Last updated in NPPESApril 22, 2013
Mailing address2980 N Beverly Glen Cir, Suite 301, Los Angeles, CA 90077-1726

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