Individual
DR. ANNA LIZZA LOPEZ GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2519 GLEN ST, GLEN COVE, NY 11542-5104
(516) 998-3244
Mailing address
2519 GLEN ST, GLEN COVE, NY 11542-5104
(516) 998-3244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PENDING
CA
Other
Enumeration date
09/08/2008
Last updated
12/14/2021
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