{
"Npi": {
"NPI": "1780945956",
"EntityType": "Individual",
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"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "LOPEZ",
"FirstName": "LISA",
"MiddleName": "MARIE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.S",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "NAVA",
"OtherFirstName": "LISA",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3133 N MILLBROOK AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRESNO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93703-1425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "559-600-6760",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3133 N MILLBROOK AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRESNO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93703-1425",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-600-6760",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/05/2012",
"LastUpdateDate": "06/05/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "IMF 64856",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}