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Individual
EDWIN C LOPEZ
Active
Individual
EDWIN C LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000864
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127911
STATE L&I
WA
05
—
1045085
—
WA
01
—
8902557
STATE CRIME VICTIMS
WA
01
—
970007234
MEDICARE RAILROAD
WA
Enumeration date
10/02/2006
Last updated
03/29/2024
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