Individual
DR. LUZ ANGELA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3130 E BASELINE RD STE 103, MESA, AZ 85204-7290
(480) 539-7618
(480) 900-8884
Mailing address
3130 E BASELINE RD STE 103, MESA, AZ 85204-7290
(480) 539-7618
(480) 539-1704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33381
AZ
208000000X
Pediatrics Physician
33381
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000490
—
AZ
Enumeration date
04/11/2006
Last updated
04/28/2025
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