Individual
LISSETTE LOPEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
15590 SW 42ND LN, MIAMI, FL 33185-4209
(786) 390-3285
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9288831
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ME107145
FL
Other
Enumeration date
07/10/2019
Last updated
01/28/2020
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