Individual
GISELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
240 N MAIN ST, APT E, WILKES BARRE, PA 18702-4448
(570) 899-4415
Mailing address
240 N MAIN ST, APT E, WILKES BARRE, PA 18702-4448
(570) 899-4415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN301875
PA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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