Individual
MICHAEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
NY
133V00000X
Registered Dietitian
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000567890
—
NY
Enumeration date
09/22/2018
Last updated
09/22/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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