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NPI Code Detail

MEDICARE: MRS. LINDA ANN LOPEZ LCSW

MEDICARE: MRS. LINDA ANN LOPEZ LCSW
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
11041C0700XClinical Social Worker9036LA

General Provider Information

NPI Number : 1821334186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA ANN LOPEZ LCSW
Provider Business Mailing Address
First Line : 2000 OPELOUSAS ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-2641
Country : US
Telephone Number : 337-439-9983
Fax Number : 337-310-1161
Provider Business Practice Location Address
First Line : 500 PATTERSON ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501-1849
Country : US
Telephone Number : 337-769-9451
Fax Number : 337-769-9460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2012
Last Update Date : 11/26/2019

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Directions to “ MRS. LINDA ANN LOPEZ LCSW” Practice Location

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