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NPI Code Detail

MEDICARE: MR. ALEXANDER LOPEZ MS, LPA, HSP-PA

MEDICARE: MR. ALEXANDER LOPEZ MS, LPA, HSP-PA
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
1103T00000XPsychologist3556NC

General Provider Information

NPI Number : 1659517381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEXANDER LOPEZ MS, LPA, HSP-PA
Provider Business Mailing Address
First Line : 2675 COURT DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1478
Country : US
Telephone Number : 704-824-4999
Fax Number : 704-824-3999
Provider Business Practice Location Address
First Line : 16409 NORTHCROSS DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-5065
Country : US
Telephone Number : 980-441-8200
Fax Number : 980-441-8202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2008
Last Update Date : 04/07/2023

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