Individual
FREDY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8111
Mailing address
123 PARKER CT, NEWPORT, NC 28570-3719
(252) 622-1226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
121747
NC
Other
Enumeration date
06/09/2018
Last updated
05/18/2022
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