Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ituriel Ruben Palafox Lopez, C-AA

Individual provider Anesthesiologist Assistant · NPI 1417684861

Ituriel Ruben Palafox Lopez, C-AA is an Anesthesiology Assistant in LA Crosse, Wisconsin. Qualified in 2022, 4 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 503 (WI)

Record details

NPI number1417684861
Entity typeIndividual (Type 1)
GenderMale
Credentials C-AA
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 5, 2022
Certification dateJune 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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