Individual
ANNE MICHELE LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
BLDG 1145 STURGIS STREET, NAVAL HOSPITAL ATTN PROFESSIONAL AFFAIRS, TWENTYNINE PALMS, CA 92278-8252
(760) 830-2617
Mailing address
215 OCEAN WALK CT, PORT HUENEME, CA 93041-3224
(805) 901-7045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1038372
—
363AM0700X
Medical Physician Assistant
Primary
1038372
—
Other
Enumeration date
05/17/2006
Last updated
09/11/2025
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