Individual
DR. MARILU LOPEZ NAZARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 W FLOYD BAKER BLVD, GAFFNEY, SC 29341-1845
(864) 489-3300
(864) 488-3744
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 650-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19992
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-82998
UNITED HEALTHCARE
SC
01
—
5147604
AETNA
SC
01
—
87631
MEDCOST
SC
05
—
89063TV
—
NC
01
—
SCA009J577
MEDICARE PIN
SC
05
—
T40630
—
SC
Enumeration date
01/27/2006
Last updated
01/15/2020
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