Individual
LOLITA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43547 FREEPORT PL, STERLING, VA 20166-2160
(703) 996-8119
Mailing address
43547 FREEPORT PL, STERLING, VA 20166-2160
(571) 218-5011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101058413
VA
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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