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NPI Code Detail

MEDICARE: HEATHER LOPEZ

MEDICARE:   HEATHER  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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1730012535
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER LOPEZ
Provider Business Mailing Address
First Line : PO BOX 2077
Second Line :
City : UKIAH
State : CA
Zip : 95482-2077
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 631 S ORCHARD AVE
Second Line :
City : UKIAH
State : CA
Zip : 95482-5011
Country : US
Telephone Number : 707-467-2010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ HEATHER LOPEZ ” Practice Location

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