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ALTAGRACIA LOPEZ HOLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2042 KILDAIRE FARM RD, CARY, NC 27511-6614
(919) 851-9995
(919) 859-4172
Mailing address
7100 SIX FORKS RD, SUITE 301, RALEIGH, NC 27615-6156
(919) 847-0187
(919) 676-2231

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1730
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0923A
BLUECROSS
NC
01
410048142
RAILROAD MEDICARE
NC
05
890923A
NC
Enumeration date
08/30/2005
Last updated
05/06/2022
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