Individual
LIDICE CARMONA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 NW 88TH AVE, HIALEAH, FL 33018-4602
(786) 548-7368
Mailing address
10601 NW 88TH AVE, HIALEAH, FL 33018-4602
(786) 580-4609
(786) 580-4771
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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