Bianca Alexis Lopez, PA-C
Physician Assistant in Aurora, IL. Individual provider (NPI-1).
NPI number1124862966
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1124862966
- Entity type
- Individual (NPI-1)
- Name
- Bianca Alexis Lopez
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2000 Ogden AveAurora, IL 60504-5893
Phone 630-978-6200
Mailing address
2000 Ogden AveAurora, IL 60504-5893
Phone 630-978-6200
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