Individual
GRACE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(617) 306-5879
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101252217
VA
207L00000X
Anesthesiology Physician
Primary
D76358
MD
207R00000X
Internal Medicine Physician
226675
MA
Other
Enumeration date
12/04/2007
Last updated
02/06/2025
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