Whalio Doctors

NPI 1003157041

Lissette G Lopez, PAC

Practitioner Physician Assistant Riverside, CA

Practice location

Address
9939 Magnolia Ave, Riverside, CA 92503-3528
Phone
(818) 282-5894
Mailing address
9939 Magnolia Ave, Riverside, CA 92503

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 22854 (CA)

Registry record

NPI
1003157041
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Mar 2013
Record last updated
19 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.