Individual
ALISA MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5320 HARROUN RD, SYLVANIA, OH 43560
(419) 824-7419
(567) 585-9461
Mailing address
5855 MONROE ST, SYLVANIA, OH 43560-2269
(419) 824-7419
(567) 585-9461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.382352
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019387
OH
Other
Enumeration date
07/13/2016
Last updated
06/11/2025
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