Individual
DR. JEANNETTE MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
111 CHINCHUBA GDNS, MANDEVILLE, LA 70471-3261
(985) 727-6055
(985) 727-1627
Mailing address
PO BOX 98, MANDEVILLE, LA 70470-0098
(985) 727-6055
(985) 727-1627
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10993R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65270
—
LA
Enumeration date
07/14/2006
Last updated
06/19/2015
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