Individual
ROBERT LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2650 LAKE SAHARA DR, SUITE 100, LAS VEGAS, NV 89117-3437
(702) 497-1004
Mailing address
3819 ICE STORM CT, LAS VEGAS, NV 89129-6494
(702) 497-1004
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN31552
NV
163WG0000X
General Practice Registered Nurse
Primary
RN31552
NV
1744R1102X
Research Study Specialist
RN31552
NV
Other
Enumeration date
08/21/2015
Last updated
06/01/2016
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