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1760025134
LISA LOPEZ
NEW YORK, NY
NPI
1760025134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-10-17
Last Update Date
2019-10-17
Business Address
LISA LOPEZ
160 CONVENT AVE THE CUNY SCHOOL OF MEDICINE- PA PROGRAM OFFICE
NEW YORK, NY 10031
Phone number: 212-650-7812
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Mailing Address
LISA LOPEZ
4205 LAYTON ST APT 4F
ELMHURST, NY 11373-2305
Phone number: 917-651-7097
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