Lopez, Lea Revita

Lopez, Lea Revita is an individual health care provider with primary practice located at 751 S Bascom Ave Otolaryngology/Head And Neck Surgery, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lopez, Lea Revita can be contacted via phone (408) 885-5000.

Contact Information

Primary practice address
751 S Bascom Ave Otolaryngology/Head And Neck Surgery San Jose CA 95128-2604
Phone: (408) 885-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95006005 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95006005 California

Profile Details

NPI number 1598203408
LBN Legal business name Lopez, Lea Revita
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2017
Last updated May 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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