MEDICARE: REQUEL Y LOPES LAC

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
1	171100000X	Acupuncturist	AC01424	TX
2	171100000X	Acupuncturist	3381	FL
3	171100000X	Acupuncturist	2119	NC

General Provider Information

NPI Number	:	1265872543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REQUEL Y LOPES LAC

Provider Business Mailing Address
First Line	:	1616 EVANS RD STE 205
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	919-263-4331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 EVANS RD STE 205
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	954-951-5982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2013
Last Update Date	:	03/25/2024

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Directions to “ REQUEL Y LOPES LAC” Practice Location

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