LANCE LEE BECHTOLD


Address: 1851 Mesquite Ave Ste 216, Lake Havasu City, AZ 86403-5681
Phone: 9288545358

LANCE LEE BECHTOLD (NPI# 1336554070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336554070
Entity Type Individual
Full Name LANCE LEE BECHTOLD
Credential MD
Practice Address 1851 Mesquite Ave Ste 216
Lake Havasu City
AZ 86403-5681
Mailing Address 3333 E Camelback Rd Ste 180
Phoenix
AZ 85018-2396
Practice Telephone 9288545358
Practice Fax Number 9288545365
Mailing Telephone 6027596883
Enumeration Date 2014-06-20
Last Update Date 2019-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
58269 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 517932 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2800 E Ajo Way, Tucson, AZ 857136204 5208744276
1501 N Campbell Ave, Tucson, AZ 857246204 6023913373

Office Location

Street Address 1851 MESQUITE AVE STE 216
City LAKE HAVASU CITY
State AZ
Zip Code 86403-5681

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629048046 Wayne M Cumbria Internal Medicine 1851 Mesquite Ave Ste 216, Lake Havasu City, AZ 86403-5681 2006-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104479039 Liska's Apothecary Shop, Inc. Assisted Living Facility 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 2019-07-19
1275033227 Ayad Costy Pharmacist 75 North Lake Havasu City, Lake Havasu City, AZ 86403 2018-02-16
1942727250 Ideal Health Care, L.L.C. Prosthetic/Orthotic Supplier 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 2017-08-28
1063965036 Cerner Health Connections, Inc Clinic/Center 89 Civic Center Blvd, Lake Havasu City, AZ 86403 2016-07-26
1447643358 Lundin Dental PC Durable Medical Equipment & Medical Supplies 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 2015-03-17
1912301425 Arizona Havasu Bdm Pak LLC Dentist 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 2014-10-13
1386047850 Emily E Vona Nurse Practitioner 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 2014-09-29
1750700589 Thomas Wennergren Pharmacist 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 2014-04-09
1285997460 Jamie L Lemire Pharmacist 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 2012-06-21
1053694448 Goodwill of Northern Arizona Exclusive Provider Organization 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 2011-09-22
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508055930 Akdhc, LLC Internal Medicine 1720 Mesquite Ave Ste 202, Lake Havasu City, AZ 86403-5644 2007-10-22
1629048046 Wayne M Cumbria Internal Medicine 1851 Mesquite Ave Ste 216, Lake Havasu City, AZ 86403-5681 2006-01-26
1700869302 Mario Albert Torres Internal Medicine 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 2005-11-28
1811397748 Akdhc, LLC Internal Medicine 1851 Mesquite Ave, Suite 216, Lake Havasu City, AZ 86403-5677 2014-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366089328 Akdhc, LLC Internal Medicine 525 S Watson Rd Ste 205, Buckeye, AZ 85326-3451 2019-12-09
1326515677 Mind Body Kidney Internal Medicine 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 2018-10-25
1124503586 Jean Letarte Md Pllc Internal Medicine 1515 E Florence Blvd Ste 102, Casa Grande, AZ 85122-5334 2018-10-01
1982182267 Akdhc, LLC Internal Medicine 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 2018-07-30
1013403161 Akdhc Surgery Center, LLC Internal Medicine 2771 Silver Creek Rd Ste 100, Bullhead City, AZ 86442-7959 2018-07-02
1487140539 Akdhc, LLC Internal Medicine 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 2018-07-02
1902392079 Akdhc,llc Internal Medicine 3600 W Tangerine Rd, Suite 110, Marana, AZ 85658 2018-07-02
1912493065 Akdhc,llc Internal Medicine 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 2018-07-02
1073030532 Akdhc Surgery Center, LLC Internal Medicine 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 2017-08-25
1720502073 Akdhc, LLC Internal Medicine 4475 S I 19 Frontage Rd Ste 101, Green Valley, AZ 85614-5884 2017-07-28
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Competitor

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City LAKE HAVASU CITY
Zip Code 86403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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