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NPI Code Detail

MEDICARE: CAROLINA LOPEZ

MEDICARE: CAROLINA 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 TechnicianRBT0480NV

General Provider Information

NPI Number : 1811422785
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA LOPEZ
Provider Business Mailing Address
First Line : 2340 W HORIZON RIDGE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5074
Country : US
Telephone Number : 775-303-4975
Fax Number :
Provider Business Practice Location Address
First Line : 2340 W HORIZON RIDGE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5074
Country : US
Telephone Number : 775-303-4975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2017
Last Update Date : 03/10/2026

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Directions to “ CAROLINA LOPEZ ” Practice Location

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