Individual
DR. JOHANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1323 SE 17TH ST, PMB 100065, FT. LAUDERDALE, FL 33316
(786) 973-2363
Mailing address
1323 SE 17TH ST, PMB 100065, FT. LAUDERDALE, FL 33316
(786) 973-2363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
CDR 86017854
FL
133V00000X
Registered Dietitian
Primary
ND7671
FL
Other
Enumeration date
02/01/2016
Last updated
01/02/2025
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