Individual
LISSETE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4951 ARROYO RD BLDG 62, LIVERMORE, CA 94550-9650
(925) 373-4700
Mailing address
4951 ARROYO RD BLDG 62, LIVERMORE, CA 94550-9650
(925) 373-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95381531
CA
163WG0000X
General Practice Registered Nurse
95381531
CA
163WP2201X
Ambulatory Care Registered Nurse
Primary
95381531
CA
163WW0000X
Wound Care Registered Nurse
95381531
CA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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