Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Anne Lopez, MMS, PA-C

Individual provider Physician Assistant · NPI 1952705964

Laura Anne Lopez, MMS, PA-C is a Physician Assistant in Hawthorne, California. Works from 2 locations. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4455 W 117th St Ste 200
Hawthorne, CA 90250-2240
Phone: (310) 219-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 W Lake Cook Rd, Buffalo Grove, IL 60089-2089 — (847) 808-8884

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001939 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 68257 (CA)

Record details

NPI number1952705964
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2014
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Hawthorne