Individual
JOHN D. LOPEZ
Active
Individual
JOHN D. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
109696
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1726152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009953310
—
AL
05
—
303630800
—
FL
01
—
430064443
RAILROAD MEDICARE
FL
01
—
59084591
BLUE CROSS & BLUE SHIELD
AL
01
—
G1244
BLUECROSS & BLUESHIELD
FL
Enumeration date
08/15/2005
Last updated
10/13/2016
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