Individual
MS. BARBARA LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2471
(910) 577-2634
Mailing address
3032 RED FOX RD, TRENT WOODS, NC 28562-6638
(252) 633-4580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
055449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6907604
—
NC
Enumeration date
04/21/2006
Last updated
07/08/2007
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