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Individual
LETICIA LOPEZ
Active
Individual
LETICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME89930
FL
208M00000X
Hospitalist Physician
Primary
ME89930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13744
BCBS
FL
01
—
302054
AVMED
FL
Enumeration date
10/03/2006
Last updated
06/08/2022
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