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NPI Code Detail

MEDICARE: MR. KEVIN LIONEL LOPEZ

MEDICARE: MR. KEVIN LIONEL 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1629505276
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN LIONEL LOPEZ
Provider Business Mailing Address
First Line : 7921 BULLARD AVE STE 2C
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70128-1186
Country : US
Telephone Number : 504-373-9626
Fax Number : 866-583-9593
Provider Business Practice Location Address
First Line : 7921 BULLARD AVE STE 2C
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70128-1186
Country : US
Telephone Number : 504-373-9626
Fax Number : 866-583-9593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2017
Last Update Date : 07/21/2022

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Directions to “ MR. KEVIN LIONEL LOPEZ ” Practice Location

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