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Individual

KATHERINE MARIE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5330
(352) 273-6815
(352) 273-7515
Mailing address
PO BOX 100247, GAINESVILLE, FL 32610-0247
(352) 273-6815
(352) 273-7515

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11006041
FL
363LF0000X
Family Nurse Practitioner
11006041
FL

Other

Enumeration date
03/08/2020
Last updated
04/09/2022
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