Individual
JOSEPH MICHAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
967 E LANCASTER AVE, DOWNINGTOWN, PA 19335-3328
(484) 593-5160
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA005328
PA
Other
Enumeration date
07/11/2017
Last updated
08/27/2020
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