MEDICARE: GEORGINA 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
1	372600000X	Adult Companion		NE

General Provider Information

NPI Number	:	1760370589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGINA LOPEZ

Provider Business Mailing Address
First Line	:	518 W 8TH ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-4228
Country	:	US
Telephone Number	:	308-258-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 W 8TH ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-4228
Country	:	US
Telephone Number	:	308-258-2848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

Similar Medicare Providers

1841333820 — GIA MARIE VOORHIES OTR/L
Practice Location Address:

25 TABLE ROCK DR
HOLIDAY ISLAND, AR
72631-4228

Practice Phone: 503-983-0812
Practice Fax:

1013121391 — MISS YANBO YANG L.AC
Practice Location Address:

4228 RICHMOND AVE
STATEN ISLAND, NY
10312-6237

Practice Phone: 718-966-7259
Practice Fax:

1184748840 — MODERN OPTICS, INC.
Practice Location Address:

4228 29TH ST SE
GRAND RAPIDS, MI
49512-1936

Practice Phone: 616-949-5860
Practice Fax:

1003931601 — MODERN OPTICS, INC
Practice Location Address:

4228 29TH ST SE
GRAND RAPIDS, MI
49512-1936

Practice Phone: 616-949-5860
Practice Fax:

1154570398 — KELLY W. ROBERTSON
Practice Location Address:

4228 GRAND MARAIS RD
JENNINGS, LA
70546-8273

Practice Phone: 337-288-9418
Practice Fax:

1972934990 — MRS. TARA OWENS
Practice Location Address:

5206 SPINNING WHEEL DR
GRAND BLANC, MI
48439-4228

Practice Phone: 810-922-9695
Practice Fax:

Directions to “ GEORGINA LOPEZ ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.