Individual
MRS. ANA LIZETT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4881 PALM BEACH BLVD, STE 100, FORT MYERS, FL 33905-3217
(239) 693-9191
(239) 693-7369
Mailing address
3434 HANCOCK BRIDGE PKWY STE 301, NORTH FORT MYERS, FL 33903-7094
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 9180599
FL
363LG0600X
Gerontology Nurse Practitioner
RN 9180599
FL
Other
Enumeration date
07/18/2013
Last updated
04/22/2016
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