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NPI Code Detail

MEDICARE: DEBRA LOPEZ

MEDICARE: DEBRA LOPEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1063238640
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA LOPEZ
Provider Business Mailing Address
First Line : 3520 GEIST AVE APT 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3134
Country : US
Telephone Number : 702-357-8317
Fax Number : 702-357-8317
Provider Business Practice Location Address
First Line : 3520 GEIST AVE APT 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3134
Country : US
Telephone Number : 702-357-8317
Fax Number : 702-357-8317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2024
Last Update Date : 11/27/2024

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Directions to “ DEBRA LOPEZ ” Practice Location

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