Individual
MRS. LUCERO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15010 DUNBARTON PL, MIAMI LAKES, FL 33016-1417
(305) 820-5011
Mailing address
15010 DUNBARTON PL, MIAMI LAKES, FL 33016-1417
(305) 820-5011
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8644
FL
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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