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NPI Code Detail

MEDICARE: PATRICIA LOPEZ

MEDICARE: PATRICIA 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1558225003
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LOPEZ
Provider Business Mailing Address
First Line : 4545 PENNWOOD AVE APT 288L
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7253
Country : US
Telephone Number : 702-403-5150
Fax Number :
Provider Business Practice Location Address
First Line : 3930 HOWARD HUGHES PKWY STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0946
Country : US
Telephone Number : 702-560-2192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ PATRICIA LOPEZ ” Practice Location

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