Most Relevant Information
Provider Data
| NPI Number: | 1003195231 |
| Provider Name: | LEAH M LOPEZ PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | MA054888 |
Most Important Dates
| Enumeration Date: | 08/05/2011 |
| Last Updated: | 03/08/2016 |
Provider Practice Location
3400 SPRUCE ST
4 SILVERSTEIN
PHILADELPHIA
PA
191044206
Practice Location Phone/Fax
| Phone: | 2156627870 |
| Fax: |
Provider Mailing Location
3400 SPRUCE ST
4 SILVERSTEIN
PHILADELPHIA
PA
191044206
Provider Mailing Phone/Fax
| Phone: | 2156627870 |
| Fax: |