Individual
DR. REMEDIOS LOPEZ DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8638 CENTREVILLE RD, MANASSAS, VA 20110-5264
(703) 361-2930
(703) 361-0910
Mailing address
8638 CENTREVILLE RD, MANASSAS, VA 20110-5264
(703) 361-2930
(703) 361-0910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101049875
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005612195
—
VA
01
—
101049875
VIRGINIA LICENSE NUMBER
VA
Enumeration date
11/09/2006
Last updated
06/30/2010
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