Individual
SUSAN MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4301 GARDEN CITY DR STE 304, HYATTSVILLE, MD 20785-6105
(301) 235-0600
Mailing address
13715 MIDFIELD GLEN CT, HOUSTON, TX 77059-3506
(281) 832-9811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84625
TX
133V00000X
Registered Dietitian
DX6355
MD
Other
Enumeration date
08/01/2019
Last updated
12/01/2023
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