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

Dr. Edward P Fuller, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1457454548

Dr. Edward P Fuller, MD is an Anatomic Pathology & Clinical Pathology Physician in Lake Havasu City, Arizona. Licensed in Arizona and California. Registered with an NPI since 2006.

Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Civic Center Ln
Lake Havasu City, AZ 86403
Phone: (928) 453-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 26880 (AZ)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence C50618 (CA)

Record details

NPI number1457454548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJuly 8, 2007

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