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Individual
NICOLE LOPEZ
Active
Individual
NICOLE 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
L2431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848160A
—
OK
05
—
151785606
—
TX
05
—
151785607
—
TX
05
—
151785608
—
TX
05
—
84426756
—
NM
Enumeration date
07/10/2006
Last updated
04/25/2018
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