person
Jacqueline Marie Lopez, RPA-C
Surgical Physician Assistant in Bay Shore, New York
NPI 1477828952

Jacqueline Marie Lopez is a Surgical Physician Assistant based in Kings Park, NY and is specialized in Surgical. Jacqueline Marie Lopez practices in Bay Shore, NY and has the professional credentials of RPA-C. The NPI Number for Jacqueline Marie Lopez is 1477828952 and holds a License No. (New York).

The current practice location address for Jacqueline Marie Lopez is 301 E Main St, Bay Shore, NY and can be reached out via phone at 516-521-3744. You can also correspond with Jacqueline Marie Lopez through the mailing address at 3 CLOVER LN, KINGS PARK, NY - 11754-3914 (mailing address contact number: ).

Location: 301 E Main St, Bay Shore, NY, 11754-3914
person
Provider Profile Details
NPI Number
1477828952
Provider Name
Jacqueline Marie Lopez
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
301 E Main St, Bay Shore, NY, 11754-3914
Phone Number
516-521-3744
Fax Number
Provider Enumeration Date
03/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St
City
State
Zip
11706-8408
Phone Number
516-521-3744
Fax Number
person
Provider Business Mailing Address Details
Address
3 Clover Ln
City
State
Zip
11754-3914
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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