NPI 1619714029
Debra L Pennington
Practice location
- Address
- 145 Lake Havasu Ave N, Lake Havasu City, AZ 86403-5616
- Phone
- (928) 486-8620
- Mailing address
- PO Box 966, Lake Havasu City, AZ 86405-0966
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1619714029
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jul 2024
- Record last updated
- 12 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.