Individual
MRS. ALICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2858 MAPLE BROOK LOOP, LUTZ, FL 33558-5050
(813) 317-6122
Mailing address
2858 MAPLE BROOK LOOP, LUTZ, FL 33558-5050
(813) 317-6122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9212694
FL
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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