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NPI Code Detail

MEDICARE: VANESSA T LOPEZ

MEDICARE: VANESSA T 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
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164004313
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA T LOPEZ
Provider Business Mailing Address
First Line : 4490 32ND AVE SW
Second Line :
City : NAPLES
State : FL
Zip : 34116-8273
Country : US
Telephone Number : 239-784-0944
Fax Number :
Provider Business Practice Location Address
First Line : 10681 AIRPORT PULLING RD N
Second Line :
City : NAPLES
State : FL
Zip : 34109-7336
Country : US
Telephone Number : 800-210-0814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 04/27/2021

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Directions to “ VANESSA T 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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