Individual
DIANA LOPES LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2701 BLAIR MILL RD STE 6, WILLOW GROVE, PA 19090-1041
(856) 751-7880
(856) 751-9133
Mailing address
200 BOWMAN DR STE E360, VOORHEES, NJ 08043-9603
(856) 751-7880
(856) 751-9133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017094
PA
Other
Enumeration date
03/09/2017
Last updated
03/17/2018
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