Individual
MRS. CAITLIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2211 FORT ST, WYANDOTTE, MI 48192-4135
(734) 357-0505
Mailing address
28150 ROSE AVE, BROWNSTOWN TWP, MI 48183-4833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704301757
MI
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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