Individual
FERNANDO LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-3478
Mailing address
900 WASHINGTON RD, WEST POINT, NY 10996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
692148
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121837
TX
Other
Enumeration date
10/18/2011
Last updated
09/06/2019
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