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NPI Code Detail

MEDICARE: MRS. KATHLEEN LOPEZ

MEDICARE: MRS. KATHLEEN 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
1183700000XPharmacy Technician4183PR

General Provider Information

NPI Number : 1962525444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN LOPEZ
Provider Business Mailing Address
First Line : PO BOX 1117
Second Line :
City : LARES
State : PR
Zip : 00669-1117
Country : US
Telephone Number : 787-897-8954
Fax Number :
Provider Business Practice Location Address
First Line : 259 AVE JUAN ROSADO
Second Line :
City : ARECIBO
State : PR
Zip : 00612-4826
Country : US
Telephone Number : 787-878-3510
Fax Number : 787-817-7740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. KATHLEEN LOPEZ ” Practice Location

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