Individual
LORI A KOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 E MCDOWELL RD, SUITE 100, PHOENIX, AZ 85006-2621
(602) 265-8800
(602) 265-8151
Mailing address
1301 E MCDOWELL RD, SUITE 100, PHOENIX, AZ 85006-2621
(602) 265-8800
(602) 265-8151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3051
AZ
Other
Enumeration date
09/28/2006
Last updated
03/11/2013
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