Provider / Organization | NPI | Date Certified |
---|---|---|
JAVIER LOPEZ | 1487170411 | 2017-08-22 |
Javier Lopez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487170411. Registration indicates Javier Lopez is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Javier Lopez PA |
Practice Office Address | 1721 ADMIRAL TAUSSIG BLVD NORFOLK, VA US |
Practice Office Telephone | 7579538736 |
Practice Office Fax | 7579538774 |
Mailing Address | 1721 ADMIRAL TAUSSIG BLVD NORFOLK, VA 235112802 US |
Address | City / State | Phone / Fax |
---|---|---|
620 John Paul Jones Cir | Portsmouth, VA 237082111 | 7579538736 |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |