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Individual
MARCO OLIVER DUGAN LOPEZ
Active
Individual
MARCO OLIVER DUGAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716471
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
2013001613
CA
163WP2201X
Ambulatory Care Registered Nurse
716471
CA
363L00000X
Nurse Practitioner
95000854
CA
363LF0000X
Family Nurse Practitioner
95000854
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2015009739
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95000845
CA
363LP2300X
Primary Care Nurse Practitioner
95000845
CA
Other
Enumeration date
06/18/2014
Last updated
10/04/2024
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