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NPI Code Detail

MEDICARE: CINDI LOPEZ LSW

MEDICARE: CINDI LOPEZ LSW
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
1104100000XSocial WorkerSW140172PA

General Provider Information

NPI Number : 1669150306
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDI LOPEZ LSW
Provider Business Mailing Address
First Line : 11 MINTLEAF RD
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-3625
Country : US
Telephone Number : 215-791-4962
Fax Number :
Provider Business Practice Location Address
First Line : 112 E ALLEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-4189
Country : US
Telephone Number : 215-791-4962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2023
Last Update Date : 07/11/2023

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Directions to “ CINDI LOPEZ LSW” Practice Location

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