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NPI Code Detail

MEDICARE: LEDYS LOPEZ

MEDICARE: LEDYS 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1629583794
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEDYS LOPEZ
Provider Business Mailing Address
First Line : 9260 HAMMOCKS BLVD STE 202
Second Line :
City : MIAMI
State : FL
Zip : 33196-1584
Country : US
Telephone Number : 786-353-2900
Fax Number : 786-364-1676
Provider Business Practice Location Address
First Line : 9260 HAMMOCKS BLVD STE 202
Second Line :
City : MIAMI
State : FL
Zip : 33196-1584
Country : US
Telephone Number : 786-353-2900
Fax Number : 786-364-1676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2017
Last Update Date : 12/11/2017

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Directions to “ LEDYS LOPEZ ” Practice Location

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