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Individual
DR. SARAH LOPEZ
Active
Individual
DR. SARAH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
008212
NY
152W00000X
Optometrist
Primary
15327
CA
390200000X
Student in an Organized Health Care Education/Training Program
TUV008212
NY
Other
Enumeration date
07/07/2014
Last updated
01/13/2016
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