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NPI Code Detail

MEDICARE: DANIELLE MARIE LOPEZ

MEDICARE: DANIELLE MARIE 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
1164W00000XLicensed Practical NurseLPN.189337OH

General Provider Information

NPI Number : 1023975935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE LOPEZ
Provider Business Mailing Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-9070
Provider Business Practice Location Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-9070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ DANIELLE MARIE LOPEZ ” Practice Location

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