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NPI Code Detail

MEDICARE: DR. NICOLE A LOPEZ-SEMINARIO M.D.

MEDICARE:  DR. NICOLE A LOPEZ-SEMINARIO  M.D.
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
12084N0400XNeurology PhysicianA90742CA
22084N0600XClinical Neurophysiology PhysicianA90742CA
32084S0012XSleep Medicine (Psychiatry & Neurology) PhysicianA90742CA

General Provider Information

NPI Number : 1063493567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE A LOPEZ-SEMINARIO M.D.
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 866-681-0736
Fax Number :
Provider Business Practice Location Address
First Line : 2 MEDICAL PLAZA DR
Second Line : SUITE 205
City : ROSEVILLE
State : CA
Zip : 95661-3043
Country : US
Telephone Number : 916-773-8711
Fax Number : 916-773-8712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 06/12/2015

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Directions to “ DR. NICOLE A LOPEZ-SEMINARIO M.D.” Practice Location

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