KRYSTAL M LOPEZ

INDEPENDENT OBSERVATION PHYSICIANS PLLC

Dr KRYSTAL M LOPEZ is a female medical professional, specializing in Physician Assistant. She graduated in 2017.

Contact

INDEPENDENT OBSERVATION PHYSICIANS PLLC

16001 W 9 MILE RD
SOUTHFIELD
MI
480754818

Tel: 2488493331

KRYSTAL M LOPEZ Information

Npi 1306375092
Pac Id 7214203009
Professional Enrollment Id I20171023002393
Last Name LOPEZ
First Name KRYSTAL
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INDEPENDENT OBSERVATION PHYSICIANS PLLC
Group Practice Pac Id 3577603604
Number Of Group Practice Members 103
Line 1 Street Address 16001 W 9 MILE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SOUTHFIELD
State MI
Zip Code 480754818
Phone Number 2488493331
Hospital Affiliation Ccn 1 230019
Hospital Affiliation Lbn 1 PROVIDENCE HOSP AND MED CTRS
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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