Individual
DR. LUZ E LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11711 NE 12TH ST, SUITE 1-B, BELLEVUE, WA 98005-2461
(305) 389-0079
Mailing address
11711 NE 12TH ST, STE 1B, BELLEVUE, WA 98005-2461
(305) 389-0079
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000824
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227705
L&I INSURANCE
WA
01
—
756480615
RAILROAD MEDICARE
WA
05
—
8494924
—
WA
Enumeration date
06/25/2007
Last updated
04/06/2017
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