Individual
JAIMIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, IBCLC, NBC-HWC
Contact information
Practice address
800 S 3RD ST, MONTROSE, CO 81401-4212
(970) 240-7280
Mailing address
800 S 3RD ST, MONTROSE, CO 81401-4212
(970) 240-7280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1049743
AZ
171400000X
Health & Wellness Coach
354335640
AZ
174N00000X
Lactation Consultant (Non-RN)
L-49587
CO
Other
Enumeration date
12/15/2023
Last updated
04/21/2024
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