Individual
JANNETTE LOPEZ
Active
Individual
JANNETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002787
CT
363LF0000X
Family Nurse Practitioner
Primary
002787
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004228202
—
CT
01
—
400002787CT01
BCBS
CT
Enumeration date
07/24/2006
Last updated
02/01/2013
Update your record
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