Individual
DR. LISA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 N WARREN ST, TRENTON, NJ 08618-4741
(609) 278-5900
(609) 695-3532
Mailing address
321 N WARREN ST, TRENTON, NJ 08618-4741
(609) 278-5900
(609) 695-3532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA76686
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045253
—
NJ
Enumeration date
03/16/2006
Last updated
02/29/2012
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