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NPI Code Detail

MEDICARE: LAURA LOPEZ

MEDICARE:   LAURA  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 : 1750243192
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LOPEZ
Provider Business Mailing Address
First Line : 7155 NW 179TH ST APT 106
Second Line :
City : HIALEAH
State : FL
Zip : 33015-6112
Country : US
Telephone Number : 786-712-9683
Fax Number :
Provider Business Practice Location Address
First Line : 7155 NW 179TH ST APT 106
Second Line :
City : HIALEAH
State : FL
Zip : 33015-6112
Country : US
Telephone Number : 786-712-9683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2025
Last Update Date : 11/24/2025

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Directions to “ LAURA LOPEZ ” Practice Location

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