Individual
CASSANDRA EVELYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-78955
MT
Other
Enumeration date
05/06/2015
Last updated
09/12/2019
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