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NPI Code Detail

MEDICARE: MONICA LOPEX MC NCC LAC

MEDICARE: MONICA LOPEX MC NCC LAC
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
1101Y00000XCounselorLAC-12747AZ

General Provider Information

NPI Number : 1144412925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA LOPEX MC NCC LAC
Provider Business Mailing Address
First Line : 3170 E FORT LOWELL RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1615
Country : US
Telephone Number : 520-784-7474
Fax Number :
Provider Business Practice Location Address
First Line : 3170 E FORT LOWELL RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1615
Country : US
Telephone Number : 520-784-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 04/05/2011

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Directions to “ MONICA LOPEX MC NCC LAC” Practice Location

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