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General NPI Number Information
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NPI Number | 1700772480
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Entity Type | Organization
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Legal Business Name | LOPEZ-LARSON AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 5000 ROCKSIDE RD STE 320
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2178
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Country | US
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Telephone | 216-503-9226
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Fax | 216-503-9226
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Provider Business Mailing Address
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Address Line | 5000 ROCKSIDE RD STE 320
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2178
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Country | US
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Telephone | 216-503-9226
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Fax | 216-503-9226
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | MELISSA LOPEZ LARSON
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Credential | MD
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Telephone | 617-429-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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