Individual
NORMA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 E EGBERT ST, BRIGHTON, CO 80601-2475
(303) 659-4000
(303) 655-4924
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20928351
—
CO
Enumeration date
01/04/2016
Last updated
12/29/2016
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