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NPI Code Detail

MEDICARE: VALERY LOPEZ

MEDICARE: VALERY 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
1172V00000XCommunity Health Worker
2106S00000XBehavior TechnicianUT

General Provider Information

NPI Number : 1801721311
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERY LOPEZ
Provider Business Mailing Address
First Line : 1970 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-4025
Country : US
Telephone Number : 801-506-6695
Fax Number :
Provider Business Practice Location Address
First Line : 1970 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-4025
Country : US
Telephone Number : 801-506-6695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ VALERY LOPEZ ” Practice Location

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