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Individual

LESLIE A LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3333 BURNET AVE ML 4002, CINCINNATI, OH 45229
(513) 636-4688
(513) 636-3800
Mailing address
3333 BURNET AVE ML 4002, CINCINNATI, OH 45229
(513) 636-4688
(513) 636-3800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021043
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.021043
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0236149
OH
Enumeration date
07/17/2017
Last updated
08/16/2023
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