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Individual

MAYA L LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 526-6562
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 526-6562

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
E-4784
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7010583
RI
Enumeration date
05/23/2006
Last updated
07/03/2014
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