Individual
LUIS ENRIQUE LOPEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8897 NW 177TH TER, HIALEAH, FL 33018-6623
(786) 371-3078
Mailing address
8897 NW 177TH TER, HIALEAH, FL 33018-6623
(786) 371-3078
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11022872
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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