Courtney Lane Loper, PAC Valid NPI

Individual provider · Physician Assistant · Fort Walton Beach, FL

NPI

1881870657

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA9110566 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2008-01-11

Last updated

2017-10-25