Individual
MISS ELIZABETH ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1811 S NEW ENGLAND ST, LOS ANGELES, CA 90006-5313
(323) 270-1244
Mailing address
1811 S NEW ENGLAND ST, LOS ANGELES, CA 90006-5313
(323) 270-1244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3828
CA
390200000X
Student in an Organized Health Care Education/Training Program
603998
CA
Other
Enumeration date
03/13/2009
Last updated
07/01/2016
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