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NPI Code Detail

MEDICARE: ROBIN LOPEZ

MEDICARE:   ROBIN  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 : 1942673058
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN LOPEZ
Provider Business Mailing Address
First Line : 118 LILLIAN DR
Second Line :
City : CAVE CITY
State : AR
Zip : 72521-8803
Country : US
Telephone Number : 870-994-3103
Fax Number :
Provider Business Practice Location Address
First Line : 118 LILLIAN DR
Second Line :
City : CAVE CITY
State : AR
Zip : 72521-8803
Country : US
Telephone Number : 870-994-3103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2015
Last Update Date : 11/11/2015

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Directions to “ ROBIN LOPEZ ” Practice Location

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