Individual
CLEO LINA MARIELLE LOEFMAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1300 SW ST LUCIE BLVD # 5157, PORT ST LUCIE, FL 34986-2109
(772) 878-7078
Mailing address
1300 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2109
(772) 878-7078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11016893
FL
Other
Enumeration date
04/13/2022
Last updated
05/03/2022
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