BROOKE ELIZABETH LOPEZ MMS PA-C NPI 1912549379

NPI Information

NPI: 1912549379
Provider Name: BROOKE ELIZABETH LOPEZ, MMS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
10290 N NORTH COUNTY BLVD STE 200
HIGHLAND, UT
ZIP 84003
Phone: (801) 899-3391
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Brooke Elizabeth Lopez, MMS, PA-C is a medical physician assistant in Highland, UT. Brooke Elizabeth Lopez, MMS, PA-C NPI is 1912549379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10290 N NORTH COUNTY BLVD STE 200
HIGHLAND, UT
ZIP 84003-973
Phone: (801) 899-3391

The NPI 1912549379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 12/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	12304844-1206	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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