Individual
JESUS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1216 2ND ST SW, ROCHESTER, MN 55902-1906
(507) 255-5123
Mailing address
438 15TH AVE SW, ROCHESTER, MN 55902-1926
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2397229
MN
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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