Individual
DR. JACQUELYN M. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12139 S DIXIE HWY, MIAMI, FL 33156-5200
(305) 256-2525
Mailing address
12139 S DIXIE HWY, MIAMI, FL 33156-5200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 5092
FL
Other
Enumeration date
07/01/2015
Last updated
07/21/2015
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