Individual
LEOPOLDO L LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 342-2300
(209) 524-4240
Mailing address
PO BOX 661297, ARCADIA, CA 91066-1297
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
Primary
PA16258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPA162580
—
CA
Enumeration date
11/07/2005
Last updated
06/16/2008
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