Individual
DENISE LYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304-1256
(602) 865-4510
(602) 865-6100
Mailing address
5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304-1256
(602) 865-4510
(602) 865-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2835
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813916
—
AZ
Enumeration date
08/19/2006
Last updated
11/07/2023
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