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NPI Code Detail

MEDICARE: DENISE LOPEZ FNP-BC

MEDICARE: DENISE LOPEZ FNP-BC
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
1363L00000XNurse PractitionerRN2280878MA
2363LF0000XFamily Nurse PractitionerRN2280878MA

General Provider Information

NPI Number : 1497227821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE LOPEZ FNP-BC
Provider Business Mailing Address
First Line : 25 MARSTON ST APT 203
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2357
Country : US
Telephone Number : 978-725-5913
Fax Number :
Provider Business Practice Location Address
First Line : 25 MARSTON ST APT 203
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2357
Country : US
Telephone Number : 978-725-5913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2018
Last Update Date : 03/22/2021

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Directions to “ DENISE LOPEZ FNP-BC” Practice Location

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