Individual
DONNITA LOPEZ-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
4818 WASHINGTON BLVD, SAINT LOUIS, MO 63108-1829
(314) 200-5408
Mailing address
4818 WASHINGTON BLVD, SAINT LOUIS, MO 63108-1829
(314) 200-5408
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
N25101506
MO
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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