Individual
MRS. MADISON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3140
NV
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/20/2024
Last updated
02/13/2025
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