Individual
MRS. HEATHER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 E SKYLINE DR, LORAIN, OH 44053-2440
(440) 897-7348
Mailing address
1820 E SKYLINE DR, LORAIN, OH 44053-2440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
111554
OH
Other
Enumeration date
05/29/2011
Last updated
05/29/2011
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