Individual
ANNA ELISA LOPEZ-STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 HOSPITAL DR, SUITE 102, CLYDE, NC 28721-0107
(828) 456-9006
(828) 456-8199
Mailing address
PO BOX 603250, CHARLOTTE, NC 28260-3250
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700405
NC
207Q00000X
Family Medicine Physician
MD60444089
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548354699
—
WA
01
—
NCM344F135
MEDICARE PTAN
NC
Enumeration date
10/03/2006
Last updated
02/10/2022
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