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NPI Code Detail

MEDICARE: GABRIELLE LOPEZ

MEDICARE: GABRIELLE 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1083572549
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE LOPEZ
Provider Business Mailing Address
First Line : 932 S QUEBEC AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-4112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 932 S QUEBEC AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-4112
Country : US
Telephone Number : 914-263-4434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ GABRIELLE LOPEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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