DR. LISA BRYCE LOPEZ (NPI# 1821109323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821109323 |
| Entity Type | Individual |
| Full Name | DR. LISA BRYCE LOPEZ |
| Credential | MD |
| Practice Address |
2713 Dantzler Dr North Charleston SC 29406-9005 |
| Mailing Address |
154 Cartright St Daniel Island SC 29492-7684 |
| Practice Telephone | 8437641722 |
| Practice Fax Number | 8437641788 |
| Mailing Telephone | 8437641722 |
| Mailing Fax Number | 8437641788 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 24855 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063756690 | Lisa Paulette Lopez | Counselor | 5801 Eubank Blvd Ne Apt 27, Albuquerque, NM 87111-6181 | 2012-11-20 |
| 1891931200 | Lisa Lopez | Speech-Language Pathologist | 14637 Ginger Kerrick, El Paso, TX 79938-1018 | 2009-01-06 |
| 1205021896 | Lisa Tatum Lopez | Counselor | 15408 Main St Unit 107, Mill Creek, WA 98012-9025 | 2007-09-07 |
| 1306869664 | Lisa F Lopez | Dentist | 1107 Statesville Blvd, Salisbury, NC 28144-2287 | 2006-07-26 |
| 1538703640 | Lisa Lopez | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-10-31 |
| 1760025134 | Lisa Lopez | Physician Assistant | 160 Convent Ave, The Cuny School of Medicine- Pa Program Office, New York, NY 10031 | 2019-10-17 |
| 1245884261 | Lisa Marie Lopez | Physical Therapist | 1005 E 10th St Ste B, Weslaco, TX 78596-5133 | 2019-07-29 |
| 1639646011 | Lisa Lopez | Licensed Vocational Nurse | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2018-10-24 |
| 1386126860 | Lisa Lopez | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2018-08-31 |
| 1336638527 | Lisa M Lopez | Counselor | 2000 Commerce Dr, West Melbourne, FL 32904-2335 | 2018-05-03 |
| Street Address |
2713 DANTZLER DR |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250378 | Amy Rebman Dietrich | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2005-07-21 |
| 1376889998 | Heather Nicole Blanton | Nurse Practitioner | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2012-12-31 |
| 1336469527 | Morgan Murphy Glass | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2010-06-10 |
| 1205097359 | Casey Harvey King | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2008-06-21 |
| 1477744100 | Christina M Tripp | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2007-08-07 |
| 1245421056 | Farrow Counts Durant | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2007-08-06 |
| 1366530511 | Kathryn Elizabeth Herwig | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2006-10-11 |
| 1689761694 | Kimberly R Fisher | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2006-10-10 |
| 1750478772 | Constantine Peter Copses | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2006-10-10 |
| 1164538732 | Sumita Kumari Debroy | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194139337 | Jordan Stuart Whatley | Pediatrics | 2250 Mall Dr, North Charleston, SC 29406-6563 | 2014-06-16 |
| 1710061270 | Shilpa Narendra Shah | Pediatrics | 2713 Dantzler Drive, North Charleston, SC 29406-9005 | 2006-10-24 |
| 1821089459 | Jennifer Ann Nordby | Pediatrics | 2781 Tricom St, Palmetto Pediatrics, Pa, North Charleston, SC 29406-9170 | 2005-11-02 |
| 1447250378 | Amy Rebman Dietrich | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2005-07-21 |
| 1336469527 | Morgan Murphy Glass | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2010-06-10 |
| 1205097359 | Casey Harvey King | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2008-06-21 |
| 1477744100 | Christina M Tripp | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2007-08-07 |
| 1245421056 | Farrow Counts Durant | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2007-08-06 |
| 1861560765 | Palmetto Pediatrics, Pa | Pediatrics | 2781 Tricom St, North Charleston, SC 29406-9170 | 2006-12-01 |
| 1366530511 | Kathryn Elizabeth Herwig | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2006-10-11 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.