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NPI Code Detail

MEDICARE: CAROLINA LOPEZ

MEDICARE:   CAROLINA  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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1811422785
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA LOPEZ
Provider Business Mailing Address
First Line : 2551 N GREEN VALLEY PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89014-0272
Country : US
Telephone Number : 775-303-4975
Fax Number :
Provider Business Practice Location Address
First Line : 2551 N GREEN VALLEY PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89014-0272
Country : US
Telephone Number : 775-303-4975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2017
Last Update Date : 04/27/2017

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Directions to “ CAROLINA 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.