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NPI Code Detail

MEDICARE: LISA LOPEZ-BEHR

MEDICARE: LISA LOPEZ-BEHR
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
1183500000XPharmacist057405NY
2183500000XPharmacistPS54464FL

General Provider Information

NPI Number : 1932703295
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA LOPEZ-BEHR
Provider Business Mailing Address
First Line : 3102 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2928
Country : US
Telephone Number : 813-902-1833
Fax Number :
Provider Business Practice Location Address
First Line : 3102 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2928
Country : US
Telephone Number : 813-902-1833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/27/2020

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Directions to “ LISA LOPEZ-BEHR ” Practice Location

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