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Individual
LUIS FELIPE LOPEZ
Active
Individual
LUIS FELIPE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN220963
GA
363LF0000X
Family Nurse Practitioner
Primary
RN220963
GA
Other
Enumeration date
03/18/2016
Last updated
01/29/2025
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