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Individual

NORMA LOPEZ-MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME104536
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001517000
FL
01
036.115567
ILLINOIS MEDICAL LICENSE
01
CF162Z
MEDICARE PTAN
FL
Enumeration date
04/27/2009
Last updated
03/21/2024
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