Individual provider · Type 1 NPI

Laurencio Christopher Lopez, PA-C

Medical Physician Assistant · Fort Campbell, KY

NPI number 1497112866 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8500 Map

Mailing address

2998 Trough Springs Rd
Clarksville, TN 37043-5414

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1130762 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1497112866

Laurencio Christopher Lopez, PA-C's National Provider Identifier is 1497112866, issued on Jan 15, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Campbell, KY. The record was last updated on May 30, 2025.