Individual
MASON TAYLOR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5320 RUSCHE DR NW, COMSTOCK PARK, MI 49321-9551
(800) 442-7779
Mailing address
5337 LAWNDALE AVE, HUDSONVILLE, MI 49426-1231
(616) 835-6626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704341520
MI
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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