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Individual

DR. DEONNAE LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-4250
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME134099
FL

Other

Enumeration date
04/08/2013
Last updated
08/03/2021
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