Individual
DR. ANGELA MENNICKE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 423-5476
Mailing address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 423-5476
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A87181
CA
Other
Enumeration date
08/01/2007
Last updated
07/02/2008
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