Individual
LAURA LOPEZ RODRIGUEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3701 CONNECTICUT AVE NW, WASHINGTON, DC 20008-4556
(240) 601-4771
Mailing address
8409 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-2420
(240) 601-4771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019011796
VA
225700000X
Massage Therapist
M04890
MD
225700000X
Massage Therapist
Primary
MT2167
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019011796
BOARD OF NURSING
VA
01
—
M04890
BOARD OF CHIROPRACTORS
MD
01
—
MT2167
BOARD OF MASSAGE
DC
Enumeration date
05/29/2019
Last updated
05/29/2019
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