Individual
CHRISTOPHER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC, ACNPC-AG
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
1436 W CLARKSTON RD, LAKE ORION, MI 48362-2477
(248) 250-3726
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
3201011490
MI
163W00000X
Registered Nurse
4704299720
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704299720
MI
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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