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DR. AILEEN J LOPEZ MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699969477

Individual Registrant:
DR. AILEEN J LOPEZ MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12586 AVENUE 408  CUTLER/OROSI, CA 93647-9454 US
Tel: 559-528-2804  Fax: 559-528-7623

Contact information for business:
305 EAST CENTER AVE.  VISALIA, CA 93291-6331 US
Tel: 559-737-4700  Fax: 559-737-4782

Registration Information:
NPI: 1699969477
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
PAMT190005
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA118113

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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