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NPI Code Detail

MEDICARE: MS. BARBARA LOPEZ

MEDICARE: MS. BARBARA 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
1367500000XCertified Registered Nurse Anesthetist055449NC

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 : 1528024312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA LOPEZ
Provider Business Mailing Address
First Line : 3032 RED FOX RD
Second Line :
City : TRENT WOODS
State : NC
Zip : 28562-6638
Country : US
Telephone Number : 252-633-4580
Fax Number :
Provider Business Practice Location Address
First Line : 317 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6338
Country : US
Telephone Number : 910-577-2471
Fax Number : 910-577-2634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 07/08/2007

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