Individual
GABRIELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-4888
(859) 323-1123
Mailing address
18620 RAYMOND RD, MARYSVILLE, OH 43040-7013
(813) 919-5054
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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