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Individual
ANTOINETTE LOPEZ
Active
Individual
ANTOINETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46784
MN
207Q00000X
Family Medicine Physician
A54812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-19261
MEDICA-CHOICE
MN
05
—
0586909
—
IA
01
—
1042594
PREFERRED ONE
MN
01
—
132531
UCARE
MN
01
—
2274032
ARAZ
MN
05
—
34600900
—
WI
05
—
367187900
—
MN
01
—
782052
FAIRVIEW
MN
01
—
935S7LO
BCBS
MN
01
—
HP48293
HEALTH PARTNERS
MN
Enumeration date
10/19/2006
Last updated
12/30/2014
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