Individual
LUZ BIANCA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2166
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024091153
NJ
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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