Lawrence Lopez, PA-C
Physician Assistant in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1659037745
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1659037745
- Entity type
- Individual (NPI-1)
- Name
- Lawrence Lopez
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
3970 W Ann RdNorth Las Vegas, NV 89031-3852
Phone 702-747-4799
Mailing address
5455 Cardinal Ridge Ct Unit 202Las Vegas, NV 89149-4853
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