MEDICARE: ELIZABETH ANN LOPEZ LMT

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	225700000X	Massage Therapist	108597	FL

General Provider Information

NPI Number	:	1386595734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN LOPEZ LMT

Provider Business Mailing Address
First Line	:	5050 NW 80TH RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32653-5132
Country	:	US
Telephone Number	:	689-808-5003
Fax Number	:

Provider Business Practice Location Address
First Line	:	5050 NW 80TH RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32653-5132
Country	:	US
Telephone Number	:	689-808-5003
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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