Individual
SABRINA MAGGIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 GLENBROOK DR, LAKELAND, FL 33811-2392
(417) 619-1240
Mailing address
6910 GLENBROOK DR, LAKELAND, FL 33811-2392
(417) 619-1240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
L120-793-90-760-0
FL
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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