Individual
KRYSTAL M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5303 ELLIOTT DRIVE, SUITE 210, YPSILANTI, MI 48197
(734) 712-1000
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008235
MI
Other
Enumeration date
06/07/2017
Last updated
04/16/2020
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