Individual
MELISSA LOPEZ-LICONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 PEACHTREE INDUSTRIAL BLVD STE 4203, SUWANEE, GA 30024-4540
(770) 831-3018
(770) 831-3669
Mailing address
1821 TRAVERS CIR, LAWRENCEVILLE, GA 30044-4533
(404) 918-6824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN331273
GA
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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