Individual provider · NPI-1

Dr. Elisa M. Montross-Lopez, MD..

Family Medicine · Milton, DE

NPI number1376536623
StatusActive
Last updated in NPPESOct 12, 2012

Details

NPI
1376536623
Entity type
Individual (NPI-1)
Name
Dr. Elisa M. Montross-Lopez
Credential
MD..
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2005
Last updated
Oct 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineC1-0004991DEYes

Practice location

630 Mulberry Street
Milton, DE 19968

Phone 302-684-8053 · Fax 302-684-8059

Mailing address

640 S State St
742 Building
Dover, DE 19901-3530

Phone 302-674-3970 · Fax 302-672-2350

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