Individual
CHRISTINA BOHNERT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7340 E BROAD ST, SUITE B, BLACKLICK, OH 43004-9625
(614) 864-8000
(614) 864-3036
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35079989
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2323177
—
OH
Enumeration date
10/10/2005
Last updated
12/22/2021
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