Individual
SAMANTHA N LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-4624
(231) 745-4928
Mailing address
721 E LOOMIS ST, LUDINGTON, MI 49431-2216
(231) 690-8237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704352216
MI
Other
Enumeration date
06/06/2023
Last updated
06/15/2023
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