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NPI Code Detail

MEDICARE: SUE LOPEZ

MEDICARE: SUE 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1861993925
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUE LOPEZ
Provider Business Mailing Address
First Line : 1312 S 8TH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-1638
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1312 S 8TH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-1638
Country : US
Telephone Number : 702-385-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2018
Last Update Date : 03/28/2018

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Directions to “ SUE LOPEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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