Individual
ELIGIO LOPERENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(386) 754-8000
Mailing address
11329 SW 77TH WAY, LAKE BUTLER, FL 32054-9667
(386) 496-2598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1745
FL
Other
Enumeration date
04/22/2007
Last updated
11/16/2010
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