Laurencio Christopher Lopez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1130762 Issued in TX

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(270) 798-8500

NPI assigned

Jan 15, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1497112866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 TROUGH SPRINGS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435414",
            "telephone_number": "931-561-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LAURENCIO",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-15",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "1130762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Carnegie Lomax, MS, RD, CSSD, CSCS
• Michael A Lombardo, PA-C
• Tre' Addison Long, LCSW
• Mary Longo, M.S. CCC-SLP
• Andrew John Lopez, MD
• Veronica Lopez
• Anita Joan Lovett, LCSW
• Catherine Harkin Lowry, DDS
• Gwynetta Maria Luckett, MD
• Karen P Luisi

• Medical Physician Assistant in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.