BENNY LOPEZ

LANSING, MI
NPI1952855777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-08-10
Last Update Date2016-08-10
Business Address
-- BENNY LOPEZ
1200 E MICHIGAN AVE STE 460
LANSING, MI 48912-1897
Phone number: 517-364-5490
Mailing Address
-- BENNY LOPEZ
PO BOX 13008
LANSING, MI 48901-3008
Phone number: 517-364-6253