Individual
EMILY DAWN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2394
(270) 444-2972
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1728
KY
363AM0700X
Medical Physician Assistant
Primary
PA1728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100216270
—
KY
Enumeration date
06/29/2012
Last updated
08/28/2015
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