Individual
RENEE HUDOBA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
401 N SECTION ST, FAIRHOPE, AL 36532-2613
(251) 928-5058
(251) 928-5666
Mailing address
401 N SECTION ST, FAIRHOPE, AL 36532-2613
(251) 928-5058
(251) 928-5666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2027
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051507949
BCBS
AL
01
—
11209151
AETNA/CAQH
AL
01
—
46674
HEALTHSPRINGS OF ALABAMA
AL
Enumeration date
02/06/2006
Last updated
02/25/2009
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