Individual
EMMA RENAY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7145
(717) 242-7729
Mailing address
182 CAMBRIDGE LN, LEWISTOWN, PA 17044-9315
(330) 814-3071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
12/13/2023
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