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Individual

DR. JACQUELINE LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3062 DYER BLVD, KISSIMMEE, FL 34741-7839
(407) 343-6228
Mailing address
7928 S MARBELLA CT, ORLANDO, FL 32836-8707
(321) 297-8941

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6520
FL

Other

Enumeration date
07/02/2024
Last updated
07/03/2024
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