Individual
TRACY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
31 VIBURNUM LN, MOUNT LAUREL, NJ 08054-2532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR19861700
NJ
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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