Vip IV & Medical Spa, LLC
Vip IV & Medical Spa, LLC is a Family Medicine Physician in Lake Havasu City, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1690 McCulloch Blvd N Ste 102Lake Havasu City, AZ 86403-6560
Phone: (480) 404-4896
Fax: (480) 400-1063
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1447932280 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelley Farley — Owner, Family Nurse Practitioner · (480) 404-4896 |
| Other names | Vip Iv & Medical Spa, Llc; Vip Iv & Medical Spa, Llc |
| NPI enumerated | August 2, 2023 |
| Last updated in NPPES | January 11, 2024 |
| Certification date | January 11, 2024 |
| Mailing address | 1747 Los Lagos Dr, Lake Havasu City, AZ 86403-6625 |
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