Individual
ERICKA MICHELLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4100 N WICKHAM RD STE 120, MELBOURNE, FL 32935-2483
(321) 701-6072
Mailing address
1809 MOOR DR, LAKE WORTH BEACH, FL 33461-5720
(561) 307-7637
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6181
FL
Other
Enumeration date
11/28/2022
Last updated
11/30/2022
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