Individual
DR. SARAH ANITA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 918-0604
Mailing address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 918-0604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
252540
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047556
—
WA
Enumeration date
07/30/2012
Last updated
12/29/2015
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