Individual
ELIZABETH LAUREL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9040A JACKSON AVENUE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(717) 377-1682
Mailing address
9040A JACKSON AVENUE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11469
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/11/2012
Last updated
06/29/2022
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