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Organization
D.A. LOPEZ, MD
Active
Organization
D.A. LOPEZ, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRENA FERGUSON (OFFICE MANAGER)
(619) 437-1146
Entity
Organization
Contact information
Practice address
230 PROSPECT PL, SUITE 260, CORONADO, CA 92118-1978
(619) 437-1146
(619) 437-1912
Mailing address
230 PROSPECT PL, SUITE 260, CORONADO, CA 92118-1978
(619) 437-1146
(619) 437-1912
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
G10411
CA
Other
Enumeration date
10/11/2006
Last updated
06/04/2013
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