MRS. Shannon Nicole Lopez, PA

NPI #1669185070 in Hunt Valley, Maryland

Provider Information

NPI Number
1669185070
Entity Type
Individual
Name
MRS. Shannon Nicole Lopez, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Dec 30, 2022
Last Updated
Jul 29, 2024

Practice Location

Address
11350 MCCORMICK RD STE 501
ZIP Code
21031-1002
Phone
(703) 738-4371

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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