Individual
KATY CECILIA LOPEZ VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1751 ERICKSON AVE, HARRISONBURG, VA 22801-8555
(540) 248-4487
(540) 248-5312
Mailing address
1751 ERICKSON AVE, HARRISONBURG, VA 22801-8555
(540) 932-5168
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101253761
VA
390200000X
Student in an Organized Health Care Education/Training Program
57-018398
OH
Other
Enumeration date
10/21/2010
Last updated
09/26/2019
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