Individual
ANA LISA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 881-3000
Mailing address
2313 DIVISION RD, CORPUS CHRISTI, TX 78418-5326
(361) 728-4460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1005242
TX
363LF0000X
Family Nurse Practitioner
Primary
1005242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15211988
DRIVER'S LICENSE
TX
Enumeration date
07/27/2020
Last updated
12/20/2024
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